BEAR VALLEY RURAL HEALTH CLINIC
NPI 1871778803
Clinic/Center - Rural Health in Big Bear City, CA

NPI Status: Active since January 09, 2008

Contact Information

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

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  • Organization
  • Clinic/Center
  • Rural Health
  • CLIA Number: 05D0061030
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-14-2026

About BEAR VALLEY RURAL HEALTH CLINIC

This page provides the complete NPI Profile along with additional information for Bear Valley Rural Health Clinic, a primary care provider established in Big Bear City, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1871778803 assigned on January 2008. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Bear Valley Rural Health Clinic. The authorized official of this NPI record is Mr. Evan Rayner (Ceo)

NPI
1871778803
Provider Legal Name
BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT
Other Organization Name
BEAR VALLEY RURAL HEALTH CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1028 W BIG BEAR BLVD BIG BEAR CITY, CA 92314
Location Phone
(909) 878-8221
Location Fax
(909) 878-8284
Mailing Address
PO BOX 1649 BIG BEAR LAKE, CA 92315
Mailing Phone
(909) 878-8221
Mailing Fax
(909) 878-8284
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-09-2008
Last Update Date
07-23-2024
Code Navigator

A primary care provider (PCP) like Bear Valley Rural Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

240000111 (CA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. EVAN RAYNER

Authorized Official Title
CEO
Authorized Official Phone
(909) 866-6501

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1871778803MEDICAID (05)CA 
D497OTHER (01)CAMEDICAID PE

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0061030
Facility Type
Hospital
Certificate Effective Date
February 15, 2024
Certificate Expiration Date
February 14, 2026
Laboratory Director
DR. NOGBA PAWOO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Bear Valley Rural Health Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for BEAR VALLEY RURAL HEALTH CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1871778803
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281411471680
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 1 + 4 + 7 + 1 + 6 + 8 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1871778803 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790329555 DAMIAN D'AURIA DDS
Individual
Dentist1028 W BIG BEAR BLVD
BIG BEAR CITY, CA 92314
(909) 878-8221

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871778803, enumerated in the NPI registry as an "organization" on January 09, 2008

The provider is located at 1028 W Big Bear Blvd Big Bear City, Ca 92314 and the phone number is (909) 878-8221

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0061030 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on January 09, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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