Bucktail Medical Center
NPI 1093701047 · Skilled Nursing Facility · Renovo, PA
Bucktail Medical Center is a Skilled Nursing Facility organization in Renovo, PA (NPI 1093701047).
Provider details
- NPI number
- 1093701047
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Dailey, Accountant(570) 923-1000
- License
- 549602 (PA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-26
- Last updated
- 2023-03-17
- Certified
- 2023-03-17
Frequently asked questions
- What is Bucktail Medical Center's NPI number?
- Bucktail Medical Center's National Provider Identifier (NPI) is 1093701047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bucktail Medical Center?
- Bucktail Medical Center is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Bucktail Medical Center located?
- Bucktail Medical Center's practice location on file with NPPES is 1001 Pine St, Renovo, PA 17764-1618.
- What is Bucktail Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Bucktail Medical Center is (570) 923-1000.
- Who is the authorized official for Bucktail Medical Center?
- The authorized official listed on Bucktail Medical Center's NPPES record is Gary Dailey, Accountant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bucktail Medical Center's NPI active?
- Yes — Bucktail Medical Center's NPI (1093701047) is active in the NPPES registry as of the last update on 2023-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.