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Bucktail Medical Center

Critical Access Hospital in Renovo, PA · enumerated 2005 · authorized official Gary Dailey, Accounting / Special Projects.

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

National Provider Identifier

1821083700

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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 15, 2005
Last updated in NPPES Mar 17, 2023

Taxonomy & classification

282NC0060X Critical Access Hospital Hospitals · License 549601 (PA) Primary

Authorized official

Name Gary Dailey
Title Accounting / Special Projects
Phone (570) 923-1000

Other identifiers

Identifier Type State Issuer
1007644390007 Medicaid PA -
1007644390002 Medicaid PA -
1007644390003 Medicaid PA -
1007644390004 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

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.
What type of organization is Bucktail Medical Center?
Bucktail Medical Center is registered in NPPES as a Critical Access Hospital (its primary provider taxonomy).

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