Big Bend Hospital Corporation
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Alpine, TX
NPI 1689773756 · NPPES record last updated Sep 3, 2020
Key facts
- NPI
- 1689773756
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 007119 (TX)
- Legal business name
- BIG BEND HOSPITAL CORPORATION
- Practice address
- 2600 N Highway 118
Alpine, TX 79830-2002 - Phone
- (423) 837-3447
- NPI assigned
- Sep 22, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BIG BEND HOSPITAL CORPORATION
Authorized official
- Name
- Randy Michael Cooper
- Title
- SVP Finance Operations/Ao
- Phone
- (615) 221-3840
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 8
Related certifications (CCN) 1
Facilities with the same owner 32
Practitioners 6
-
Katherine Powers Gonzalez, AG-ACNP, FNP
-
Ruth Melody Hornady, APRN, AGACNP
-
Luis James Ruiz, MD
Affiliated clinicians 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospital certification: CCN 45Z378
- Legal name
- BIG BEND HOSPITAL CORPORATION
- Doing business as
- BIG BEND REGIONAL MEDICAL CENTER
- 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 | 12.78% |
| 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 | 13.07% |
| 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 | 82.37% |
| Goldentree Distressed Master Fund III LTD |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Goldentree Quorum Health Offshore II LTD |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 11.75% |
| Quincy Health LLC |
5% Or Greater Indirect Ownership Interest | Jul 7, 2020 | 100% |
| Steven W Frantz |
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 |
|---|---|---|---|---|
| O20110215000291 | TX | Part a Provider - Critical Access Hospital | 7214918036 | Practice locations: Alpine, TX |
National Provider Directory
- Tax ID family
- Big Bend Regional Medical Center
- Part of
- Big Bend Regional Medical Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 007119 | TX | Yes |
Addresses
Primary practice location
2600 N Highway 118
Alpine, TX 79830-2002
Mailing address
2600 N Highway 118
Alpine, TX 79830-2002
Phone (423) 837-3447
Other names
- Big Bend Regional Medical Center
Other providers in Alpine, TX
- 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
- Big Bend Regional Medical Center Home Health
- Jacqueline Bow
- Brewster Emergency Medicine Associates PA
All providers in Alpine, TX · Medicare Defined Swing Bed Hospital Unit in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.