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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 549601 | PA | Hospital Units |
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 |
Street Address |
1001 PINE STREET |
City | RENOVO |
State | PA |
Zip Code | 17764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518944735 | Bucktail Medical Center | Ambulance | 1001 Pine Street, Renovo, PA 17764-1618 | 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 | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
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. |
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 |
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.