BUCKTAIL MEDICAL CENTER


Address: 1001 Pine Street, Renovo, PA 17764-1618
Phone: 5709231000

BUCKTAIL MEDICAL CENTER (NPI# 1518944735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518944735
Entity Type Organization
Organization Name BUCKTAIL MEDICAL CENTER
Practice Address 1001 Pine Street
Renovo
PA 17764-1618
Practice Telephone 5709231000
Practice Fax Number 5709231812
Mailing Telephone 5709231000
Mailing Fax Number 5709231812
Enumeration Date 2005-12-29
Last Update Date 2016-03-03
Authorized Official Name MR. GEORGE GERBER (CONTROLLER)
Authorized Official Telephone 5705316152
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 341600000X Ambulance 05131 PA Transportation Services
Y 341600000X Ambulance 15023 PA Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
PA RAILROAD MEDICARE 59001331 01
PA 1007644390007 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982681102 Bucktail Medical Center Medicare Defined Swing Bed Unit 1001 Pine Street, Renovo, PA 17764 2005-12-29
1821083700 Bucktail Medical Center General Acute Care Hospital 1001 Pine St, Renovo, PA 17764-1618 2005-09-15
1710907043 Bucktail Medical Center Clinic/Center 1001 Pine St, Renovo, PA 17764-1618 2006-07-20
1093701047 Bucktail Medical Center Nursing Facility/Intermediate Care Facility 1001 Pine St, Renovo, PA 17764-1618 2005-09-26

Office Location

Street Address 1001 PINE STREET
City RENOVO
State PA
Zip Code 17764-1618

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982681102 Bucktail Medical Center Medicare Defined Swing Bed Unit 1001 Pine Street, Renovo, PA 17764 2005-12-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295721272 Firemens Amb Service Team Ambulance 8th and Hurron Ave, Renova, PA 17764 2005-09-23
1518170455 Western Clinton County Community Services Community/Behavioral Health 425 Saint Clair Ave, Renovo, PA 17764-1068 2007-05-07
1982837795 D&s Haulman Enterprises LLC Pharmacy 144 4th St, Renovo, PA 17764-1071 2009-08-26
1669730883 Adrienne Tripp Health Educator 208 10th St, Renovo, PA 17764-1117 2012-04-25
1497116909 Renovo Fire Department Inc Ambulance 230 11th St, Renovo, PA 17764-1121 2016-03-10
1013938059 Renovo Pharmacy Inc. Pharmacist 700 Erie Ave, Renovo, PA 17764-1130 2006-07-23
1942332705 Robert Louis Stehman Jr. Pharmacist 700 Erie Ave, Renovo, PA 17764-1130 2007-03-09
1225209646 Firemans Ambulance Service Team Ambulance 800 Huron Ave, Renovo, PA 17764-1140 2008-03-13
1649438870 Firemens Ambulance Service Team Ambulance 800 Huron Ave, Renovo, PA 17764-1140 2008-05-23
1568546646 Frank Conly Family Medicine 924 Huron Ave, Renovo, PA 17764-1191 2006-10-25
Find all providers in zip 17764

Taxonomy Information

Taxonomy Code 341600000X
Grouping Transportation Services
Classification Ambulance

Taxonomy Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225637036 S & V Penn Transport Inc Ambulance 8312 State Rd Ste 2, Philadelphia, PA 19136-2938 2020-10-22
1750902763 Spirit Ambulance Inc Ambulance 380 Red Lion Rd Ste 235, Huntingdon Valley, PA 19006-6451 2020-04-30
1285260349 Infinite Ems Ambulance 2 Bowman Dr, Feasterville Trevose, PA 19053-1601 2020-03-19
1194368522 Greater Hazleton Ambulance LLC Ambulance 874 Old St, Hazle Township, PA 18202-3061 2019-10-17
1619459138 Priority 1 Emergency Medical Services Ambulance 90 E Union St Ste 12, Wilkes Barre, PA 18701-3210 2018-08-31
1881048155 P Nicholas Enterprises LLC Ambulance 285 Linfield Rd, Parkerford, PA 19457 2016-04-22
1033577259 Braddock Emergency Medical Services Ambulance 1100 Braddock Ave, Braddock, PA 15104-1721 2016-02-02
1851756365 Express Medical Transport, LLC Ambulance 2183 E Village Rd, Holland, PA 18966-2932 2015-12-28
1881066397 Life Alert Ambulance Inc Ambulance 380 Red Lion Rd Ste 216, Huntingdon Valley, PA 19006-6451 2015-10-23
1508260126 Glenville Ambulance, LLC Ambulance 5871 Blooming Grove Rd, Glenville, PA 17329-9413 2014-10-09
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Competitor

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City RENOVO
Zip Code 17764

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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