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institution
Chicot Memorial Medical Center
Clinic/Center in Lake Village, Arkansas
NPI 1104238179

Chicot Memorial Medical Center is a Clinic/Center based in Lake Village, AR. Chicot Memorial Medical Center practices in Lake Village, AR. The NPI Number for Chicot Memorial Medical Center is 1104238179 and holds a License No. (Arkansas).

The current practice location address for Chicot Memorial Medical Center is 2729 Hwy 65 & 82 S, Lake Village, AR and can be reached out via phone at 870-265-5351 and via fax at 870-265-2091.

Location: 2729 Hwy 65 & 82 S, Lake Village, AR, 71653-6136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104238179
Provider Name
Chicot Memorial Medical Center
Credential
Provider Entity Type
Organization
Address
2729 Hwy 65 & 82 S, Lake Village, AR, 71653-6136
Phone Number
870-265-5351
Fax Number
870-265-2091
Provider Enumeration Date
05/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
181080105 05 AR
04-Z328 01 MEDICARE PROVIDER NUMBER
04-1328 01 MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2729 Hwy 65 & 82 S
City
Lake Village
State
Arkansas
Zip
71653-6136
Phone Number
870-265-5351
Fax Number
870-265-2091
person
Provider Business Mailing Address Details
Address
2729 Hwy 65 & 82 S
City
Lake Village
State
Arkansas
Zip
71653-6136
Phone Number
870-265-5351
Fax Number
870-265-2091
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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