​Big Bend Regional Hospital District

Big Bend Regional Hospital District

801 E. Holland Ave.

Alpine, Texas 79830

(432) 837-7051  Office

​(432) 837-3261  Fax

​​The District

BBRHD operates a healthcare network (PBCIHP) which provides assistance to needy residents of the bi-county area.  The network provides resources to qualified residents of Brewster and Presidio counties through a network of service providers which includes clinics, hospitals, doctors offices, medical centers, pharmacies 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.

                       Office Hours

  Monday - Friday:  8:00 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, holidays or other out-of-office schedules.  

​​​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.

Big Bend Regional Hospital District

P.O Box 1439

Alpine TX 79831

Contact Us

Presidio-Brewster County Indigent Healthcare Program

Alpine Office

​100 N. Cockrell

Alpine, Texas 79830

Marfa Office

413 W. Columbia Street,  # 101B

Marfa, Texas 79843

  Marfa office is not currently staffed and all contacts at           this office are through appointment only, or as may               be scheduled.

Presidio Office

​803 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.  Program enrollment increased dramatically, medical coverage improved all without an increase to the District tax rate.

At the start of the year in 2016, the District Board of Directors recognized the need to build upon the success of PBCIHP and to start the next phase of transformation of the District.  So began the Sustainable Healthcare Program (SHP), a healthcare delivery system intended to implement new services for the residents of the District and to help manage the District's healthcare costs.