Organization
CHICOT MEMORIAL MEDICAL CENTER
Active
Parent organization
CHICOT MEMORIAL MEDICAL CENTER
Other names
Lake Village Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHICOT MEMORIAL MEDICAL CENTER
Authorized official
VICKI J ALLEN (CHIEF FINANCIAL OFFICER)
(870) 265-9229
Entity
Organization
Contact information
Practice address
2729 S HIGHWAY 65 82 STE A, LAKE VILLAGE, AR 71653-6136
(870) 265-5343
Mailing address
2729 S HIGHWAY 65 82, LAKE VILLAGE, AR 71653-6136
(870) 265-9200
(870) 265-2091
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/23/2025
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