Chicot Memorial Hospital Anesthesia

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

License

AR4314 Issued in AR

Legal business name

CHICOT MEMORIAL HOSPITAL ANESTHESIA

Practice address

2729 Hwy 65 & 82 South
Lake Village, AR 71653

Phone

(870) 265-5351

Fax

(870) 265-3910

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce A Bennett

Title

Ceo

Phone

(870) 265-5351

Specialties & licenses 2

Addresses

Tax ID family

Chicot Memorial ER2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chicot Memorial ER

  • Critical Access Hospital
  • Lake Village, AR
  • NPI 1356426134
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1235201112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 HWY 65 & 82 SOUTH",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-265-5351",
            "fax_number": "870-265-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 HWY 65 & 82 SOUTH",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-265-5351",
            "fax_number": "870-265-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICOT MEMORIAL HOSPITAL ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-265-5351"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4314",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "AR3934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Rose Charleston, MHPP
• Chicot County Early Childhood Center
• Chicot Memorial ER
• Chicot Memorial Hospital
• Chicot Memorial Hospital
• Chicot Memorial Medical Center
• Chicot Memorial Medical Center
• Chicot Memorial Medical Center
• Chicot Memorial Medical Center
• Chicot Memorial Medical Center

• Critical Access Hospital in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Critical Access Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.