Organization
BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT
Active
Other names
Bear Valley Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN RAYNER (CEO)
(909) 866-6501
Entity
Organization
Contact information
Practice address
1028 W BIG BEAR BLVD, BIG BEAR CITY, CA 92314-9562
(909) 878-8221
(909) 878-8284
Mailing address
PO BOX 1649, BIG BEAR LAKE, CA 92315-1649
(909) 878-8221
(909) 878-8284
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
240000111
CA
261QR1300X
Rural Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871778803
—
CA
01
—
D497
MEDICAID PE
CA
Enumeration date
01/09/2008
Last updated
09/24/2025
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