Organization
TIPPAH COUNTY HOSPITAL
Active
Other names
Tippah County Health Services1
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG CUDSWORTH (CEO)
(662) 837-9221
Entity
Organization
Contact information
Practice address
1005 CITY AVE N, 1005 CITY AVENUE NORTH, RIPLEY, MS 38663-1414
(662) 837-9221
(662) 837-2110
Mailing address
PO BOX 499, RIPLEY, MS 38663-0499
(662) 837-9221
(662) 837-2110
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11-159
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020111
BLUE CROSS
MS
05
—
00020111
—
MS
Enumeration date
06/21/2006
Last updated
11/30/2012
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