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CAH251337-00 TIPPAH COUNTY HOSPITAL (Active)
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Main Details
Name
TIPPAH COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH251337-00
Medicare Provider Number
251337
Additional Details
Current Program Status
Active
Registration Date
1/9/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/15/2019
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Tippah County Hospital
Patrick Chapman, CEO
(662) 837-9221
Primary Contact
Tippah County Hospital
Christina Kent Nunnally, Family Nurse Practitioner
(662) 837-2098
Addresses
Street Address
1005 City Ave N
RIPLEY, MS 38663
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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