| Organization Name: | BEAR VALLEY COMMUNITY HEALTHCARE DISTRICT |
| NPI Number: | 1871778803 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIOLET ROSARIO COLUNGA (CEO) |
| Mailing Address: | 816 W Big Bear Blvd Big Bear City |
| State: | CA US |
| Postal Code: | 92314 |
| Phone Number: | 9098666501 |
| Fax Number: | 9098788284 |
| NPI Enumeration Date: | 01/09/2008 |
| NPI Last Update Date: | 02/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 240000111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |