340B Drug Pricing Program Database
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CAH051335-00 BEAR VALLEY COMMUNITY HOSPITAL (Active)
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Main Details
Name
BEAR VALLEY COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH051335-00
Medicare Provider Number
051335
Additional Details
Current Program Status
Active
Registration Date
4/1/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/4/2022
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Bear Valley Community Healthcare District
Evan Rayner, CEO
(909) 878-8214
Primary Contact
Bear Valley Community Healthcare District
Colin Campbell, Pharmacist
(909) 878-8209
Addresses
Street Address
41870 GARSTIN DR
BIG BEAR, CA 92315
Billing Address
Bear Valley Community Healthcare District
41870 Garstin Drive
Big Bear Lake, CA 92315
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 7/1/2015, Termination 10/1/2020, Reinstatement 7/1/2022
04/04/2022
5/19/19 originally approved with 340B ID CAH050618-00, but this was corrected the same day to CAH051335-00
05/19/2015
April 2025
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