NPIMap

Tippah County Hospital

Organization Active NPI Primary Care Clinic/Center · Ripley, MS

NPI 1215710967 · NPPES record last updated May 14, 2025

Key facts

NPI
1215710967
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
TIPPAH COUNTY HOSPITAL
Practice address
1005A City Ave N
Ripley, MS 38663-1414
Phone
(662) 837-2202
Fax
(662) 837-2204
NPI assigned
Aug 16, 2023
Organization subpart
Yes
Parent organization (as reported)
TIPPAH COUNTY HOSPITAL

Authorized official

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

Owned or controlled facilities with NPI records 2

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 10

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

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D1090899Tippah County Health Clinic
1005A City Avenue North, Ripley, MS 38663		Certificate of waiverAug 21, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

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 Services
Ripley, MS · CCN 255130		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Dec 29, 2009
Truebridge, LLC
Ripley, MS · CCN 258629		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20051212000167 MS Part B Supplier - Clinic/Group Practice 5193746709 Receives reassigned benefits from 47 practitioners
5 other NPIs on this enrollment
Practice locations: Ripley, MS; Walnut, MS

National Provider Directory

Tax ID family
Tippah County Hospital (11 organizations share this tax ID)
Part of
Tippah County Hospital

Locations

1005 City Ave N
Ste A
Ripley, MS 38663

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

1005A City Ave N
Ripley, MS 38663-1414

Mailing address

PO Box 499
Ripley, MS 38663-0499
Phone (662) 837-9221

Other names

  • Tippah County Health Clinic Doing business as

Other providers in Ripley, MS

All providers in Ripley, MS · Primary Care Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.