Organization Active NPI

Big Bend Hospital Corporation

  • Rural Health Clinic/Center
  • Alpine, TX
National Provider Identifier
1275988669
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BIG BEND HOSPITAL CORPORATION
Practice address
2600 N State Highway 118
Alpine, TX 79830-2002
Phone
(432) 837-0242
NPI assigned
May 4, 2016
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Laura J Fey
Title
Sr. Director Physician Rev Cycle
Phone
(615) 221-3641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2600 N State Highway 118
Alpine, TX 79830-2002

Mailing address

2600 N State Highway 118
Alpine, TX 79830-2002
Phone (432) 837-0242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161111001376 TX Part A Provider - Rural Health Clinic 7214918036 Practice locations: Alpine, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275988669. Details of each certification follow.

Rural health clinic certification: CCN 673457

Legal name
BIG BEND HOSPITAL CORPORATION
Doing business as
BIG BEND REGIONAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 29, 2017
Last certification
Jun 29, 2017
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jul 22, 1997 in TX
Enrollment address
2600 N State Highway 118
Alpine, TX 79830-2002
Related CCNs
451378

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Big Bend Regional Medical Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Henry Kunath Individual Corporate OfficerSr Vice President/Treasurer/Cfo Sep 6, 2023
Corporate DirectorSr Vice President/Treasurer/Cfo Sep 6, 2023
W-2 Managing Employee Sep 6, 2023
Christopher M Harrison Individual Corporate OfficerPresident/Ceo Apr 1, 2025
Corporate DirectorPresident/Ceo Apr 1, 2025
Quorum Health Corporation Organization, Brentwood, TN Corporation, For-profit 5% Or Greater Direct Ownership Interest Apr 29, 2016 100%
Goldentree Quorum Health Offshore I LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 7%
Gtam Onshore Blocker 2 LLC Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Dec 20, 2023 19.34%
Goldentree Distressed Onshore Master Fund III LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Aug 5, 2020 6.8%
Laura Fey Individual Corporate DirectorVP of Revenue Cycle Aug 27, 2018
Goldentree Select Offshore Intermediate Fund LP Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 5.44%
Goldentree Distressed Master Fund III LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 11%
Goldentree Quorum Health Offshore II LTD Organization, New York, NY Investment firm 5% Or Greater Indirect Ownership Interest Jul 7, 2020 8.5%
Quincy Health LLC Organization, New York, NY Created for acquisition, LLC 5% Or Greater Indirect Ownership Interest Jul 7, 2020 100%
Steven W Frantz Individual Corporate OfficerVice President Aug 10, 2022
Corporate DirectorVice President Aug 10, 2022
Donald Esposito Individual Corporate OfficerSVP & Secretary Sep 16, 2021
Corporate DirectorSVP & Secretary Sep 16, 2021

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1275988669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N STATE HIGHWAY 118",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N STATE HIGHWAY 118",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEND HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "FEY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. DIRECTOR PHYSICIAN REV CYCLE",
        "authorized_official_telephone_number": "615-221-3641"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpine, TX

Sources for this page

Verify at the official NPI Registry.