Healthcare Provider Details
I. General information
NPI: 1164949624
Provider Name (Legal Business Name): TIPPAH COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2017
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1009 CITY AVE N STE B
RIPLEY MS
38663-1414
US
IV. Provider business mailing address
PO BOX 499
RIPLEY MS
38663-0499
US
V. Phone/Fax
- Phone: 662-837-2245
- Fax: 662-837-2246
- Phone: 662-837-2202
- Fax: 662-837-2110
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICK
CHAPMAN
Title or Position: CEO
Credential: ED.D.
Phone: 662-837-9221