Bucktail Medical Center

LBN: Bucktail Medical Center
Bucktail Medical Center is an health care organization with primary practice located at 1001 Pine St , Renovo PA 17764-1618. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Critical Access Hospital. Ambulatory Health Care Facilities / Critical Access Hospital is the primary health care specialty. Bucktail Medical Center can be contacted via phone (570) 923-1019, or through Dailey, Gary via phone (570) 923-1000.

Contact Information

Primary practice address
1001 Pine St Renovo PA 17764-1618
Phone: (570) 923-1019
Fax: (570) 923-1650
Website:
Map and Directions
Authorized official contact:
Name: Dailey, Gary
Phone: (570) 923-1000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 549601 Pennsylvania
Ambulatory Health Care Facilities / Critical Access Hospital 261QC0050X 549601 Pennsylvania

Profile Details

NPI number 1710907043
LBN Legal business name Bucktail Medical Center
DBA Doing business as
Authorized official Dailey, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 17th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710907043 NPPES
Pennsylvania MEDICAID 1007644390003

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