BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT NPI 1851576888

NPI Information

NPI: 1851576888
Provider Name: BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT

Doing Business As: FAMILY HEALTH CENTER RHC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
41820 GARSTIN DRIVE
BIG BEAR LAKE, CA
ZIP 92315
Phone: (909) 878-8246
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BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT is a rural health clinic center in Big Bear Lake, CA. BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT NPI is 1851576888. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Health Center Rhc.

The provider's business location address is:

41820 GARSTIN DRIVE
BIG BEAR LAKE, CA
ZIP 92315-649
Phone: (909) 878-8246
Fax: (909) 878-8294

The provider's authorized official is Garth Hamblin .
The authorized official title is Interm Cfo and has the following contact phone number (909) 866-6501.

The CLIA number assigned to this NPI record is 05D0963288 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	24000011	CALIFORNIA	No
2	261QR1300X	Clinic/Center	Rural Health		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1851576888	MEDICAID	CALIFORNIA
2	058564	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA
3	RHM18564F	MEDICAID	CALIFORNIA
4	HAP18564F	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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