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General NPI Number Information
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NPI Number | 1689773756
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Entity Type | Organization
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Legal Business Name | BIG BEND HOSPITAL CORPORATION
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 2600 N HIGHWAY 118
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City | ALPINE
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State | TX
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Zip | 79830-2002
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Country | US
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Telephone | 423-837-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 N HIGHWAY 118
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City | ALPINE
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State | TX
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Zip | 79830-2002
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Country | US
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Telephone | 423-837-3447
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Fax |
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Authorized Official
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Title or Position | SVP FINANCE OPERATIONS/AO
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Name | RANDY MICHAEL COOPER
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Credential |
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Telephone | 615-221-3840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 007119
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License Number State | TX
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