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BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT NPI 1871778803


NPI Information

NPI: 1871778803
Provider Name: BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT

Doing Business As: BEAR VALLEY RURAL HEALTH CLINIC

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

Specialization: Rural Health

CLIA Number: 05D0698083

Address:
1028 W BIG BEAR BLVD
BIG BEAR CITY, CA
ZIP 92314
Phone: (909) 878-8221
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BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT is a rural health clinic center in Big Bear City, CA. BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT NPI is 1871778803. The provider is registered as an organization entity type.
The provider Is Doing Business As Bear Valley Rural Health Clinic.

The provider's business location address is:

1028 W BIG BEAR BLVD
BIG BEAR CITY, CA
ZIP 92314-562
Phone: (909) 878-8221
Fax: (909) 878-8284

The provider's authorized official is Evan Rayner .
The authorized official title is Ceo and has the following contact phone number (909) 866-6501.

The CLIA number assigned to this NPI record is 05D0698083 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/9/2008 and was last updated on 1/4/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural Health240000111CALIFORNIANo
2261QR1300XClinic/CenterRural HealthCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11871778803MEDICAIDCALIFORNIA
2D497OTHERCALIFORNIAMEDICAID PE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.