BUCKTAIL MEDICAL CENTER


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

BUCKTAIL MEDICAL CENTER (NPI# 1982681102) 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) 1982681102
Entity Type Organization
Organization Name BUCKTAIL MEDICAL CENTER
Practice Address 1001 Pine Street
Renovo
PA 17764
Practice Telephone 5709231000
Practice Fax Number 5709231812
Mailing Telephone 5709231000
Mailing Fax Number 5709231812
Enumeration Date 2005-12-29
Last Update Date 2011-02-08
Authorized Official Name MRS. WENDY DIANA JANERELLA (CONTROLLER)
Authorized Official Telephone 5705316152
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 549601 PA Hospital Units

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1518944735 Bucktail Medical Center Ambulance 1001 Pine Street, Renovo, PA 17764-1618 2005-12-29
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

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518944735 Bucktail Medical Center Ambulance 1001 Pine Street, Renovo, PA 17764-1618 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
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144461419 University of Pittsburgh Medical Center Medicare Defined Swing Bed Unit 200 Lothrop St. Scaife Hall, Suite B-571.3, Pittsburgh, PA 15213 2009-03-17
1104921428 Titusville Area Hospital Medicare Defined Swing Bed Unit 406 West Oak Street, Titusville, PA 16354 2006-09-13
1679500334 Wayne Memorial Hospital Medicare Defined Swing Bed Unit 601 Park Street, Honesdale, PA 18431 2006-06-27
1811511108 Wilkes-barre Hospital Company LLC Medicare Defined Swing Bed Unit 575 N River St, Wilkes Barre, PA 18764-0999 2020-06-02
1194368167 Stc Opco LLC Medicare Defined Swing Bed Unit 160 E Erie Ave, Philadelphia, PA 19134-1011 2019-10-23
1457879538 Jennersville Hospital, LLC Medicare Defined Swing Bed Unit 1015 W Baltimore Pike, West Grove, PA 19390-9459 2017-09-08
1750803797 Upmc Lock Haven Medicare Defined Swing Bed Unit 24 Cree Dr, Lock Haven, PA 17745-2699 2017-07-12
1437671484 Upmc Susquehanna Sunbury Medicare Defined Swing Bed Unit 350 N 11th St, Sunbury, PA 17801-1611 2017-07-12
1972982882 T.g.c.h. Inc. Medicare Defined Swing Bed Unit 350 Bonar Ave, Waynesburg, PA 15370-1608 2015-05-26
1093101032 Elk Regional Health Center Medicare Defined Swing Bed Unit 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 2015-04-07
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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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