Big Bend Hospital Corporation
Organization Active NPI Critical Access Hospital · Alpine, TX
NPI 1356312243 · NPPES record last updated Apr 25, 2016
Key facts
- NPI
- 1356312243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- BIG BEND HOSPITAL CORPORATION
- Practice address
- 2600 N Highway 118
Alpine, TX 79830-2002 - Phone
- (432) 837-3447
- Fax
- (432) 837-0330
- NPI assigned
- Jan 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Tara P Richardson
- Title
- Authorized Official
- Phone
- (615) 221-3672
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 8
Related certifications (CCN) 2
Facilities with the same owner 32
Practitioners 7
-
Katherine Powers Gonzalez, AG-ACNP, FNP
-
Ruth Melody Hornady, APRN, AGACNP
-
Luis James Ruiz, MD
-
Emily Sliz, M.D.
Affiliated clinicians 54
-
Madhava Agusala, M.D.
-
Varunsiri Atti, MD
-
Sudhir Bare, M.D.
-
Haritha Bellam, M.D.,
-
Fernando Boccalandro, M.D.
-
Renuka Borra, M.D.
-
Gina Marie Campagna, M.D.
-
Charles Leonard Cecil IV, M.D.
-
Travis Cosban, M.D.
-
Donald Green Culbertson, P.A.
-
Patrick W Daly, M.D.
-
Josephine Dosier, RN
-
Adenike Titilayo Esho, M.D. , M.P.H
-
Andrew Evans, PA-C
-
Lester Paul Gerson, M.D.
-
Katherine Powers Gonzalez, AG-ACNP, FNP
-
Ashish Gupta, MD
-
Tariq Hashmy, M.D.
-
Joshua Hays, MD
Medicare Care Compare: Hospital
- Listed as
- Big Bend Regional Medical Center
- Type
- Critical Access Hospitals
- Ownership
- Proprietary
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 451378
- Legal name
- BIG BEND HOSPITAL CORPORATION
- Doing business as
- BIG BEND REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jul 22, 2008
- Last certification
- Oct 30, 2025
- Beds
- 25
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 2600 N State Highway 118
Alpine, TX 79830-2002
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Henry Kunath |
Corporate Officer |
Sep 6, 2023 | |
| Corporate Director |
Sep 6, 2023 | ||
| Christopher M Harrison |
Corporate Officer |
Apr 1, 2025 | |
| Corporate Director |
Apr 1, 2025 | ||
| Quorum Health Corporation |
5% Or Greater Direct Ownership Interest | Apr 29, 2016 | 100% |
| Goldentree Quorum Health Offshore I LTD |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 7% |
| Gtam Onshore Blocker 2 LLC |
5% Or Greater Indirect Ownership Interest | Dec 20, 2023 | 19.34% |
| Goldentree Distressed Onshore Master Fund III LP |
5% Or Greater Indirect Ownership Interest | Aug 5, 2020 | 6.8% |
| Laura Fey |
Corporate Director |
Aug 27, 2018 | |
| W-2 Managing Employee |
Aug 27, 2018 | ||
| Goldentree Select Offshore Intermediate Fund LP |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 5.44% |
| Goldentree Distressed Master Fund III LTD |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 11% |
| Goldentree Quorum Health Offshore II LTD |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 8.5% |
| Quincy Health LLC |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Steven W Frantz |
Corporate Officer |
Aug 10, 2022 | |
| Corporate Director |
Aug 10, 2022 | ||
| Donald Esposito |
Corporate Officer |
Sep 16, 2021 | |
| Corporate Director |
Sep 16, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110215000092 | TX | Part a Provider - Critical Access Hospital | 7214918036 | Practice locations: Alpine, TX |
National Provider Directory
- Tax ID family
- Big Bend Regional Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
2600 N Highway 118
Alpine, TX 79830-2002
Mailing address
PO Box 846339
Dallas, TX 75284-6339
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180925600 | Other | WORKERS COMP | |
| 063340601 | Medicaid | TX | |
| 094224502 | Medicaid | TX | |
| 107754701 | Medicaid | TX | |
| 450830 | Other | AETNA OP | |
| 0000A6881 | Medicaid | NM | |
| HH0504 | Other | BC FED | |
| B50830 | Other | AETNA IP | |
| HH0504 | Other | BCBS |
Other names
- Big Bend Regional Medical Center
Other providers in Alpine, TX
- Big Bend Ambulance, PLLC
- Big Bend Family Health and Wellness LLC
- Big Bend Family Practice
- Big Bend Home Care Services LLC
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation
All providers in Alpine, TX · Critical Access Hospital in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.