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Bucktail Medical Center
Critical Access Hospital Clinic/Center in Renovo, Pennsylvania
NPI 1710907043

Bucktail Medical Center is a Critical Access Hospital Clinic/Center based in Renovo, PA and is specialized in Critical Access Hospital. Bucktail Medical Center practices in Renovo, PA. The NPI Number for Bucktail Medical Center is 1710907043 and holds a License No. 549601 (Pennsylvania).

The current practice location address for Bucktail Medical Center is 1001 Pine St, Renovo, PA and can be reached out via phone at 570-923-1019 and via fax at 570-923-1650.

Location: 1001 Pine St, Renovo, PA, 17764-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710907043
Provider Name
Bucktail Medical Center
Credential
Provider Entity Type
Organization
Address
1001 Pine St, Renovo, PA, 17764-1618
Phone Number
570-923-1019
Fax Number
570-923-1650
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007644390003 05 PA
institution
Provider Business Practice Location Address Details
Address
1001 Pine St
City
Renovo
State
Pennsylvania
Zip
17764-1618
Phone Number
570-923-1019
Fax Number
570-923-1650
person
Provider Business Mailing Address Details
Address
1001 Pine St
City
Renovo
State
Pennsylvania
Zip
17764-1618
Phone Number
570-923-1019
Fax Number
570-923-1650
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
549601 (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Critical Access Hospital
Taxonomy
261QC0050X
License No.
549601 (Pennsylvania)
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
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