Healthcare Provider Details

I. General information

NPI: 1275988669
Provider Name (Legal Business Name): BIG BEND HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N STATE HIGHWAY 118
ALPINE TX
79830-2002
US

IV. Provider business mailing address

2600 N STATE HIGHWAY 118
ALPINE TX
79830-2002
US

V. Phone/Fax

Practice location:
  • Phone: 432-837-0242
  • Fax:
Mailing address:
  • Phone: 432-837-0242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAURA J FEY
Title or Position: SR. DIRECTOR PHYSICIAN REV CYCLE
Credential:
Phone: 615-221-3641