Bear Valley Rural Health Clinic | |
1028 W Big Bear Blvd Big Bear City CA 92314-9562 | |
(909) 878-8221 | |
(909) 878-8284 |
Full Name | Bear Valley Rural Health Clinic |
---|---|
Speciality | Clinic/Center |
Location | 1028 W Big Bear Blvd, Big Bear City, California |
Authorized Official Name and Position | Evan Rayner (CEO) |
Authorized Official Contact | 9098666501 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Bear Valley Rural Health Clinic Po Box 1649 Big Bear Lake CA 92315-1649 Ph: (909) 878-8221 | Bear Valley Rural Health Clinic 1028 W Big Bear Blvd Big Bear City CA 92314-9562 Ph: (909) 878-8221 |
NPI Number | 1871778803 |
---|---|
Provider Enumeration Date | 01/09/2008 |
Last Update Date | 07/23/2024 |
Medicare PECOS PAC ID | 0345138582 |
---|---|
Medicare Enrollment ID | O20050428001118 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871778803 | NPI | - | NPPES |
1871778803 | Medicaid | CA | |
D497 | Other | CA | MEDICAID PE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 240000111 (California) | Secondary |
261QR1300X | Clinic/center - Rural Health | (California) | Primary |