Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Bucktail Medical Center

Skilled Nursing Facility in Renovo, PA · enumerated 2005 · authorized official Gary Dailey, Accountant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093701047

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Registry record

Entity type Organization (Type 2)

Legal business name Bucktail Medical Center

Practice address 1001 Pine St, Renovo, PA, 17764

Phone (570) 923-1000

Fax (570) 923-1812

Enumeration date Sep 26, 2005

Last updated in NPPES Mar 17, 2023

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 549602 (PA) Secondary

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 549602 (PA) Primary

Authorized official

Name Gary Dailey

Title Accountant

Phone (570) 923-1000

Other identifiers

Identifier	Type	State	Issuer
1007644390002	Medicaid	PA	-
1007644390010	Medicaid	PA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-17. Verify at npiregistry.cms.hhs.gov.

Where is Bucktail Medical Center located?

The practice location on file with NPPES is in Renovo, PA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-17.