Provider Demographics
NPI:1174302574
Name:TIPPAH COUNTY HOSPITAL
Entity type:Organization
Organization Name:TIPPAH COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-837-9221
Mailing Address - Street 1:1005 CITY AVE N
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663-1414
Mailing Address - Country:US
Mailing Address - Phone:662-837-9221
Mailing Address - Fax:
Practice Address - Street 1:1005B CITY AVE N
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:MS
Practice Address - Zip Code:38663-1414
Practice Address - Country:US
Practice Address - Phone:662-837-2261
Practice Address - Fax:662-512-3452
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TIPPAH COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-25
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty