BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT (NPI# 1073553756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073553756 |
Entity Type | Organization |
Organization Name | BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT |
Other Organization Name | BEAR VALLEY COMMUNITY HOSPITAL |
Practice Address |
41870 Garstin Drive Big Bear Lake CA 92315 |
Mailing Address |
Po Box 1649 Big Bear Lake CA 92315 |
Practice Telephone | 9098788276 |
Practice Fax Number | 9098788282 |
Mailing Telephone | 9098788276 |
Mailing Fax Number | 9098788282 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2016-09-23 |
Authorized Official Name | MR. GARTH HAMBLIN (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 9098788276 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
240000111 | CA | Ambulatory Health Care Facilities |
N | 282E00000X | Long Term Care Hospital | 240000111 | CA | Hospitals |
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
240000111 | CA | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | RHM18564F | 05 | |
CA | HSP30618J | 05 | |
CA | LTC555468F | 05 | |
CA | MEDICARE PROFESSIONAL | ZZZ24958Z | 01 |
CA | RHM08614F | 05 | |
CA | 1073553756 | 05 | |
CA | HSP40618J | 05 |
Other Name | Type Code |
---|---|
BEAR VALLEY COMMUNITY HOSPITAL | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871778803 | Bear Valley Community Healthcare District | Clinic/Center | 1028 W Big Bear Blvd, Big Bear City, CA 92314-9562 | 2008-01-09 |
Street Address |
41870 GARSTIN DRIVE |
City | BIG BEAR LAKE |
State | CA |
Zip Code | 92315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780637173 | Peter S. Boss | Emergency Medicine | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2006-05-18 |
1609417930 | Bk Surgical Inc | Surgery | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2019-10-08 |
1457719320 | Tasha Nicole Lowery | Nurse Practitioner | 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315-1649 | 2016-02-05 |
1235514894 | Colin Campbell | Pharmacist | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2015-07-24 |
1225443773 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 41870 Garstin Drive, Big Bear Lake, CA 92315 | 2014-06-24 |
1316352867 | Bear Mountain Medical Services, A Medical Corporation | Emergency Medicine | 41870 Garstin Drive, Big Bear Lake, CA 92315 | 2014-06-24 |
1992032643 | Susan M Mccabe | Physician Assistant | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2009-11-17 |
1346411261 | Orion Radiology, Inc | Radiology | 41870 Garstin Drive, Big Bear Lake, CA 92315-0000 | 2008-03-19 |
1932281813 | Delbert Dean Critel | Nurse Anesthetist, Certified Registered | 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315-1649 | 2006-10-19 |
1376598516 | Michael P. Hartstein | Emergency Medicine | 41870 Garstin Drive, Big Bear Lake, CA 92315-1649 | 2006-05-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265912711 | Kimberly Hurtarte | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suite 221, 222, 223, Big Bear Lake, CA 92315 | 2018-08-15 |
1225522667 | Dalilah Narda Hernandez | Counselor | 41945 Big Bear Blvd Ste 221, Big Bear Lake, CA 92315 | 2018-06-19 |
1871001453 | Tyne Kay Henry | Case Manager/Care Coordinator | 41945 Big Bear Blvd Suites 221, 222,223, Big Bear Lake, CA 92315 | 2018-01-17 |
1396255212 | Tonya R. Schour | Marriage & Family Therapist | 41943 Big Bear Blvd, Big Bear Lake, CA 92315 | 2017-10-05 |
1639539026 | Maria Negrete | Counselor | 41945 Big Bear Blvd 222, Big Bear Lake, CA 92315 | 2016-02-29 |
1568827459 | Robert Miko | Acupuncturist | 42184 Moonridge Rd #4, Big Bear Lake, CA 92315 | 2015-12-21 |
1710359856 | Katheryn Poole | Dentist | 41628 Big Bear Blvd., Big Bear Lake, CA 92315 | 2015-10-28 |
1437556362 | Deanna Marina Almaguer Flores | Counselor | 41945 Big Bear Blvd. Suit #221 #222, Big Bear Lake, CA 92315 | 2014-11-20 |
1417372186 | Kelli Gora | Nurse Practitioner | 41870 Garstin Rd., Big Bear Lake, CA 92315 | 2014-03-04 |
1770922817 | Atomic Shrink Psychology, Inc | Psychologist | 40585 Big Bear Blvd, Suite 2, Big Bear Lake, CA 92315 | 2013-06-21 |
Find all providers in zip 92315 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
Find all providers with the same taxonomy |
City | BIG BEAR LAKE |
Zip Code | 92315 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.