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Bucktail Medical Center

Critical Access Hospital Clinic/Center in Renovo, PA · enumerated 2006 · authorized official Gary Dailey, Accountant.

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

National Provider Identifier

1710907043

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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) 923-1019
Fax (570) 923-1650
Enumeration date Jul 20, 2006
Last updated in NPPES Mar 17, 2023

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 549601 (PA) Secondary
261QC0050X Critical Access Hospital Clinic/Center Ambulatory Health Care Facilities · License 549601 (PA) Primary

Authorized official

Name Gary Dailey
Title Accountant
Phone (570) 923-1000

Other identifiers

Identifier Type State Issuer
1007644390003 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

What type of organization is Bucktail Medical Center?
Bucktail Medical Center is registered in NPPES as a Critical Access Hospital Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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