Healthcare Provider Details

I. General information

NPI: 1124823521
Provider Name (Legal Business Name): TIPPAH COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28301 HIGHWAY 15
WALNUT MS
38683-9753
US

IV. Provider business mailing address

PO BOX 499
RIPLEY MS
38663-0499
US

V. Phone/Fax

Practice location:
  • Phone: 662-837-9221
  • Fax:
Mailing address:
  • Phone: 662-837-9221
  • Fax: 662-837-2110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PATRICK S CHAPMAN
Title or Position: CEO
Credential:
Phone: 662-837-2143