CHICOT MEMORIAL HOSPITAL ANESTHESIA – NPI #1235201112
General Acute Care Hospital

CHICOT MEMORIAL HOSPITAL ANESTHESIA is a general acute care hospital located in LAKE VILLAGE, AR. NPPES has assigned the NPI number 1235201112 to CHICOT MEMORIAL HOSPITAL ANESTHESIA on November 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHICOT MEMORIAL HOSPITAL ANESTHESIA below.

NPI Profile for
CHICOT MEMORIAL HOSPITAL ANESTHESIA

NPI Number
1235201112
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHICOT MEMORIAL HOSPITAL ANESTHESIA
Primary location
2729 HWY 65 & 82 SOUTH
LAKE VILLAGE, AR 71653
Phone: (870) 265-5351 Fax: (870) 265-3910
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRUCE BENNETT
CEO
Phone: (870) 265-5351
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 AR AR4314
367500000X
- Nurse Anesthetist, Certified Registered		 AR AR3934

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.