Provider Demographics
NPI:1164949624
Name:TIPPAH COUNTY HOSPITAL
Entity Type:Organization
Organization Name:TIPPAH COUNTY HOSPITAL
Other - Org Name:TIPPAH COUNTY HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:662-837-9221
Mailing Address - Street 1:PO BOX 499
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:MS
Mailing Address - Zip Code:38663-0499
Mailing Address - Country:US
Mailing Address - Phone:662-837-2202
Mailing Address - Fax:662-837-2110
Practice Address - Street 1:1005 CITY AVE N STE A
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:662-837-2237
Practice Address - Fax:662-837-2110
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TIPPAH COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-25
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty