NPIMap

Organization Active NPI

Tippah County Hospital

Doing business as Tippah Specialty Clinic

  • Multi-Specialty Clinic/Center
  • Ripley, MS
National Provider Identifier
1174302574
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TIPPAH COUNTY HOSPITAL
Doing business as
Tippah Specialty Clinic
Practice address
1009 City Ave N Ste D
Ripley, MS 38663-1414
Phone
(662) 837-2261
Fax
(662) 512-3452
NPI assigned
Sep 25, 2023
Last updated
Jul 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TIPPAH COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Authorized official

Name
Patrick S Chapman
Title
Ceo
Phone
(662) 837-9221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1009 City Ave N Ste D
Ripley, MS 38663-1414

Mailing address

1005 City Ave N
Ripley, MS 38663-1414
Phone (662) 837-9221

Other names 1

  • Tippah Specialty Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250324002016 MS Part B Supplier - Clinic/Group Practice 5193746709 Receives reassigned benefits from 2 practitioners
Practice locations: Ripley, MS

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Tippah County Hospital11 organizations share this tax ID, including this one
Part of
Tippah County Hospital

Other organizations with this tax ID 10

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

Locations

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

1005 City Ave N
#B
Ripley, MS 38663
Phone (662) 837-2261

1009 City Ave N
Ste D
Ripley, MS 38663
Phone (662) 837-2261

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tippah County Health ServicesRipley, MS, CCN 255130 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 29, 2009
Truebridge, LLCRipley, MS, CCN 258629 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1174302574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CITY AVE N STE D",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-2261",
            "fax_number": "662-512-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPAH COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIPPAH COUNTY HOSPITAL",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-837-9221"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tippah Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.