OrganizationActive
Bucktail Medical Center
NPI 1710907043 · Critical Access Hospital Clinic/Center · Renovo, PA
Provider details
- NPI number
- 1710907043
- Entity type
- Organization
- Primary specialty
- Critical Access Hospital Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Dailey, Accountant(570) 923-1000
- License
- 549601 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1001 Pine St
Renovo, PA 17764-1618
Phone: (570) 923-1019
Fax: (570) 923-1650
Street-level locationGet directions
Mailing address
1001 Pine St
Renovo, PA 17764-1618
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2023-03-17
- Certified
- 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.