NPI: 1003213281 · LAKE VILLAGE, AR 71653 · Rural Health Clinic/Center · NPI assigned 12/03/2014
| Authorized Official | VAUGHN, SUSAN (CFO) |
| NPI Enumeration Date | 12/03/2014 |
Other providers sharing the same authorized official: VAUGHN, SUSAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| CHICOT MEMORIAL MEDICAL CENTER | LAKE VILLAGE | AR | $1.55M |
| CHICOT MEMORIAL MEDICAL CENTER | LAKE VILLAGE | AR | $370K |
| CHICOT MEMORIAL MEDICAL CENTER | LAKE VILLAGE | AR | $179K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 134 | $2K |
| 2019 | 31 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | 165 | 133 | $4K |