BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT (NPI# 1871778803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871778803 |
| Entity Type | Organization |
| Organization Name | BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT |
| Other Organization Name | BEAR VALLEY RURAL HEALTH CLINIC |
| Practice Address |
1028 W Big Bear Blvd Big Bear City CA 92314-9562 |
| Mailing Address |
Po Box 1649 Big Bear Lake CA 92315-1649 |
| Practice Telephone | 9098788221 |
| Practice Fax Number | 9098788284 |
| Mailing Telephone | 9098788221 |
| Mailing Fax Number | 9098788284 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | MR. JOHN P FRIEL (CEO) |
| Authorized Official Telephone | 9098666501 |
| 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 |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAID PE | D497 | 01 |
| CA | 1871778803 | 05 |
| Other Name | Type Code |
|---|---|
| Bear Valley Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073553756 | Bear Valley Community Healthcare District | Clinic/Center | 41870 Garstin Drive, Big Bear Lake, CA 92315 | 2006-06-08 |
| Street Address |
1028 W BIG BEAR BLVD |
| City | BIG BEAR CITY |
| State | CA |
| Zip Code | 92314-9562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790329555 | Damian D'auria | Dentist | 1028 W Big Bear Blvd, Big Bear City, CA 92314-9562 | 2019-11-04 |
| 1437637527 | Alison Perez | Dentist | 1028 W Big Bear Blvd, Big Bear City, CA 92314-9562 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497249213 | Big Bear Fire Authority | Ambulance | 41090 Big Bear Boulevard, Big Bear Lake, CA 92314 | 2018-06-15 |
| 1528507431 | Big Bear Cab Company, Inc. | Taxi | 1131 Kickapoo Ct, Big Bear City, CA 92314 | 2017-02-13 |
| 1235513573 | Kaylene Hughes | Counselor | 32765 Hilltop Blvd, Unit D & E, Running Springs, CA 92314 | 2015-07-16 |
| 1528260890 | Joel J Bickler | Dentist | 1012 West Big Bear Blvd, Big Bear City, CA 92314 | 2007-05-31 |
| 1740492669 | Melisa Fitzgerald | Marriage & Family Therapist | 332 San Anselmo, Big Bear City, CA 92314 | 2007-05-04 |
| 1174604557 | Big Bear City Community Services District | Ambulance | 301 West Big Bear Blvd, Big Bear City, CA 92314 | 2006-10-18 |
| 1386121739 | Linda Bracken | Community Health Worker | 41945 Big Bear Blvd, Big Bear Lake, CA 92314 | 2018-07-27 |
| 1407931348 | Mark William Brown | Dentist | 111 West Mojave Dr., Big Bear City, CA 92314-0209 | 2006-10-26 |
| 1538365077 | Calvin P Pramann | Chiropractor | 136 W Country Club Blvd, Big Bear City, CA 92314-0297 | 2007-06-22 |
| 1679770945 | Kenneth R Pramann | Chiropractor | 136 W Country Club Blvd, Big Bear City, CA 92314-0297 | 2007-06-29 |
| Find all providers in zip 92314 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
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| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| Find all providers with the same taxonomy | ||||
| City | BIG BEAR CITY |
| Zip Code | 92314 |
Please comment or provide details below to improve the information on BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT.
| 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.