Active NPI
Big Bend Hospital Corporation
Doing business as Big Bend Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Alpine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 007119
- Legal business name
- BIG BEND HOSPITAL CORPORATION
- Doing business as
- Big Bend Regional Medical Center
- Practice address
- 2600 N Highway 118
Alpine, TX 79830-2002 - Phone
- (423) 837-3447
- NPI assigned
- Sep 22, 2006
- Last updated
- Sep 3, 2020
- Organization subpart
- Yes
- Parent organization
- BIG BEND HOSPITAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Michael Cooper
- Title
- SVP Finance Operations/Ao
- Phone
- (615) 221-3840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 007119 | TX | Primary |
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 1
- Big Bend Regional Medical Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110215000291 | TX | Part A Provider - Critical Access Hospital | 7214918036 | Practice locations: Alpine, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1689773756. Details of each certification follow.
Hospital certification: CCN 45Z378
- Legal name
- BIG BEND HOSPITAL CORPORATION
- Doing business as
- BIG BEND REGIONAL MEDICAL CENTER
- Organization structure
- Corporation
- Enrollment address
- 2600 N State Highway 118
Alpine, TX 79830-2002
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
Unit of hospital
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
7214918036
-
dba Big Bend Regional Medical Center
- Certified Registered Nurse Anesthetist
- Alpine, TX
- NPI 1629271630
7214918036
National Provider Directory
National Provider Directory- Tax ID family
- Big Bend Regional Medical Center
- Part of
- Big Bend Regional Medical Center
Other organizations with this tax ID 8
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Alpine, TX
- NPI 1275988669
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
-
dba Big Bend Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Alpine, TX
- NPI 1558516583
-
dba Big Bend Regional Medical Center
- Certified Registered Nurse Anesthetist
- Alpine, TX
- NPI 1629271630
-
dba Marfa Rural Health Clinic
- Rural Health Clinic/Center
- Marfa, TX
- NPI 1659349827
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1700031846
-
- General Practice Physician
- Alpine, TX
- NPI 1770024259
-
- Home Health Agency
- Alpine, TX
- NPI 1679523476
Locations
2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430
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.
| 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 |
Facilities with the same owner 32
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Rural Health Clinic/Center
- Alpine, TX
- NPI 1275988669
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL
-
dba Big Bend Regional Medical Center
- Critical Access Hospital
- Alpine, TX
- NPI 1356312243
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL
-
dba Scenic Mountain Medical Center
- General Acute Care Hospital
- Big Spring, TX
- NPI 1336976034
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Scenic Mountain Medical Center
- Psychiatric Hospital Unit
- Big Spring, TX
- NPI 1770310476
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Odessa Regional Medical Center
- General Acute Care Hospital
- Odessa, TX
- NPI 1306673009
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Quorum Health Offshore I LTD, Goldentree Quorum Health Offshore II LTD, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LL
-
dba Mimbres Valley Medical Group
- Rural Health Clinic/Center
- Deming, NM
- NPI 1134526221
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Mimbres Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Deming, NM
- NPI 1710196571
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Mimbres Memorial Hospital
- Critical Access Hospital
- Deming, NM
- NPI 1891075446
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Bridger Valley Medical Group
- Rural Health Clinic/Center
- Lyman, WY
- NPI 1134666944
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation
-
dba Evanston Regional Hospital
- Medicare Defined Swing Bed Hospital Unit
- Evanston, WY
- NPI 1356313506
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
-
dba Bridger Valley Medical Group
- Rural Health Clinic/Center
- Mountain View, WY
- NPI 1427595271
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Quincy Health LLC, Quorum Health Corporation
-
dba Evanston Regional Hospital
- General Acute Care Hospital
- Evanston, WY
- NPI 1639140015
Goldentree Distressed Master Fund III LTD, Goldentree Distressed Onshore Master Fund III LP, Goldentree Select Offshore Intermediate Fund LP, Gtam Onshore Blocker 2 LLC, Quincy Health LLC, Quorum Health Corporation
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599091200000",
"number": "1689773756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N HIGHWAY 118",
"city": "ALPINE",
"state": "TX",
"postal_code": "798302002",
"telephone_number": "423-837-3447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N HIGHWAY 118",
"city": "ALPINE",
"state": "TX",
"postal_code": "798302002",
"telephone_number": "423-837-3447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG BEND HOSPITAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BIG BEND HOSPITAL CORPORATION",
"enumeration_date": "2006-09-22",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "SVP FINANCE OPERATIONS/AO",
"authorized_official_telephone_number": "615-221-3840"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "TX",
"license": "007119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Big Bend Regional Medical Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Big Bend Regional Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Alpine, TX
- Big Bend Home Care Services LLC (Big Bend Home Health)
- Big Bend Hospital Corporation
- Big Bend Hospital Corporation (Big Bend Regional Medical Center)
- Big Bend Hospital Corporation (Big Bend Regional Medical Center)
- Big Bend Hospital Corporation (Big Bend Regional Medical Center)
- Big Bend Hospital Corporation (Big Bend Regional Medical Center)
- Big Bend Hospital Corporation
- Big Bend Regional Medical Center Home Health
- Jacqueline Bow, M.ED, LPC
- Brewster Emergency Medicine Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.