Big Bend Hospital Corporation
Organization Active NPI General Practice Physician · Alpine, TX
NPI 1770024259 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1770024259
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- BIG BEND HOSPITAL CORPORATION
- Practice address
- 2600 N State Highway 118
Alpine, TX 79830-2002 - Phone
- (615) 221-3851
- NPI assigned
- Mar 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Laura J Fey
- Title
- Sr. Director Physician Rev Cycle
- Phone
- (615) 221-3641
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 8
Practitioners 10
-
Katherine Powers Gonzalez, AG-ACNP, FNP
-
Ruth Melody Hornady, APRN, AGACNP
-
Luis James Ruiz, MD
-
Sarah Methe Zate, MD
-
David Wayne Sanchez, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040527000602 | TX | Part B Supplier - Clinic/Group Practice | 7214918036 |
Receives reassigned benefits from 10 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Presidio, TX; Alpine, TX |
National Provider Directory
- Tax ID family
- Big Bend Regional Medical Center
Locations
2600 N State Highway 118
Bldg E
Alpine, TX 79830
Phone (432) 837-3467
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
2600 N State Highway 118
Alpine, TX 79830-2002
Mailing address
2600 N State Highway 118
Alpine, TX 79830-2002
Other providers in Alpine, TX
- 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
- Gary W. Brewton
- Sheri Robin Campbell
All providers in Alpine, TX · General Practice Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.