Chicot Memorial Hospital Anesthesia
General Acute Care Hospital, Critical Access in Lake Village, AR. Organization (NPI-2).
NPI number1235201112
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1235201112
- Entity type
- Organization (NPI-2)
- Legal business name
- Chicot Memorial Hospital Anesthesia
- Organization subpart
- No
- Enumeration date
- Nov 15, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC0060X | General Acute Care Hospital, Critical Access | AR4314 | AR | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | AR3934 | AR |
Practice location
2729 Hwy 65 & 82 SouthLake Village, AR 71653
Phone 870-265-5351 · Fax 870-265-3910
Mailing address
2729 Hwy 65 & 82 SouthLake Village, AR 71653
Phone 870-265-5351 · Fax 870-265-3910
Authorized official
Bruce A Bennett
Ceo
8702655351
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Other Critical Access Hospital providers in Lake Village, AR
- Chicot Memorial ErNPI 1356426134
- Chicot Memorial HospitalNPI 1063571107
- Chicot Memorial HospitalNPI 1497701973
- Chicot Memorial Medical CenterNPI 1235453192
All 5 Critical Access Hospital providers in Lake Village · All 207 providers in Lake Village
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