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Organization

BIG BEND HOSPITAL CORPORATION

Active
Other names
Big Bend Regional Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization

Contact information

Practice address
2600 N HIGHWAY 118, ALPINE, TX 79830-2002
(432) 837-3447
(432) 837-0330
Mailing address
PO BOX 846339, DALLAS, TX 75284-6339

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000A6881
NM
05
063340601
TX
05
094224502
TX
05
107754701
TX
01
180925600
WORKERS COMP
01
450830
AETNA OP
01
B50830
AETNA IP
01
HH0504
BC FED
Enumeration date
01/30/2006
Last updated
04/25/2016
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