Healthcare Provider Details

I. General information

NPI: 1073553756
Provider Name (Legal Business Name): BEAR VALLEY COMMUNITY HEALTH CARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41870 GARSTIN DRIVE
BIG BEAR LAKE CA
92315
US

IV. Provider business mailing address

PO BOX 1649
BIG BEAR LAKE CA
92315-1649
US

V. Phone/Fax

Practice location:
  • Phone: 909-878-8276
  • Fax: 909-878-8282
Mailing address:
  • Phone: 909-878-8276
  • Fax: 909-878-8282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number240000111
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number240000111
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number240000111
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JIM SCHLENKER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 909-878-8276