Chicot Memorial Medical Center
NPI 1902121494ActiveOrganization· Emergency Medicine· Lake Village, AR
Emergency Medicine in Lake Village, Arkansas, registered in NPPES in March 2010, part of Chicot Memorial Medical Center. The authorized official on file is Susan Vaughn, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902121494 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Chicot Memorial Medical Center |
| NPI issued | Mar 29, 2010 |
| Last updated in NPPES | Jun 25, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Emergency Medicine | 207P00000X | AR4386 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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