Presidio-Brewster County Indigent Healthcare Program

Alpine Office

​105 W. Holland Ave.

Alpine, Texas 79830


Presidio Office

​602 W. O'Reilly Street

​Presidio, Texas 79845


BBRHD, where we began and where we are going.

The District was created by acts of the 72nd Texas Legislature in 1991 where the Brewster County Hospital District and the Presidio County Hospital District were merged into the current Big Bend Regional Hospital District.  The 80th Texas Legislature consolidated and codified previously enacted legislation to create the existing enabling legislation of the District.   

The District was created to provide hospital and medical services for needy residents of the District a charge that is the basis for the hospital district.

On October 1, 2014 the District rolled out the newly branded Presidio-Brewster County Indigent Healthcare Program (PBCIHP) where significant changes were made in the administration of the indigent healthcare program that was the basis of the District.  The program saw significant growth thanks to the outreach provide by the newly created Patient Advocate positions. 

                                                                                       Effective May 18, 2020 - until further notice

To minimize possible exposure to the COVID-19 virus, all clients are required to wear a mask in order to enter the offices.  If you do not have a mask, you may ring the doorbell for assistance and an employee will provide one for you. 

Please download the PBCIHP Application Packet ( to review or print. You may call either the Alpine or Presidio office to speak with a Patient Advocate, who will assist you in determining the documents needed BEFORE your application can be processed.

 Alpine Office: 432-837-7051                            Presidio Office: 432-229-2151


                             A paratir del 18 de Mayo 2020 – hasta nuevo aviso

Para minimizar la posible exposición al virus Covid-19, todos los clientes son requeridos usar una máscara para ingresar a las oficinas. Si usted no tiene una máscara, puede tocar el timbre para asistencia y un empleado/a le proporcionara una. 

Descargue el paquete de solicitud de PBCIHP ( para revisarlo o imprimirlo. Puede llamar a la oficina de Alpine o Presidio para hablar con un Advocate del Paciente, que le ayudara a determiner los documentos necesarios ANTES de que su solicitud pueda ser procesada.

Alpine Office: 432-837-7051                                 Presidio Office: 432-229-2151

                       Office Hours

  Monday - Friday:  9:00 AM until 12:00 PM
                               1:00 PM until 5:00 PM
  Saturday:             Closed
  Sunday:                Closed


  Note: Offices may have unscheduled closings for staff  training, meetings, or other out-of-office events.  

Big Bend Regional Hospital District

105 W. Holland Ave.

Alpine, Texas 79830

(432) 837-7051  Office

​(432) 837-3261  Fax

​​The District

BBRHD administers the Presidio Brewster County Indigent Healthcare Program (PBCIHP), which provides assistance to low income county residents of Brewster and Presidio Counties who do not qualify for other state or federal healthcare programs. The program provides resources to qualified residents through a network of service providers which includes clinics, hospitals, physician offices, and other healthcare providers. 

Our Mission Statement

The Big Bend Regional Hospital District is a bi-county hospital district which serves Brewster and Presidio County.  The management, control and administration of all funds and resources of the District are vested in the Board of Directors. Our primary mission is to provide indigent health care to the needy residents of the area in a cost effective manner.​​

​​​​​The Big Bend Regional Hospital District (BBRHD) is a political subdivision of the State of Texas which was established through special legislation in 1991 to provide healthcare for needy residents of Presidio and Brewster Counties.

Contact Us

Big Bend Regional Hospital District

Mailing Address:

P.O Box 1439

Alpine TX 79831

Big Bend Regional Hospital District