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Organization
CHICOT MEMORIAL MEDICAL CENTER
Active
Organization
CHICOT MEMORIAL MEDICAL CENTER
Active
Parent organization
CHICOT MEMORIAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICOT MEMORIAL MEDICAL CENTER
Authorized official
SUSAN VAUGHN (CFO)
(870) 265-5351
Entity
Organization
Contact information
Practice address
2729 HWY 65 & 82 S, LAKE VILLAGE, AR 71653-6136
(870) 265-5351
(870) 265-2091
Mailing address
2729 HWY 65 & 82 S, LAKE VILLAGE, AR 71653-6136
(870) 265-5351
(870) 265-2091
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4650
AR
Other
Enumeration date
03/29/2010
Last updated
11/04/2016
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