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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 341600000X | Ambulance | 05131 | PA | Transportation Services |
Y | 341600000X | Ambulance | 15023 | PA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | RAILROAD MEDICARE | 59001331 | 01 |
PA | 1007644390007 | 05 |
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 |
Street Address |
1001 PINE STREET |
City | RENOVO |
State | PA |
Zip Code | 17764-1618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982681102 | Bucktail Medical Center | Medicare Defined Swing Bed Unit | 1001 Pine Street, Renovo, PA 17764 | 2005-12-29 |
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 Code | 341600000X |
Grouping | Transportation Services |
Classification | Ambulance |
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. |
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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 |
Find all providers with the same taxonomy |
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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.