OrganizationActive
Bucktail Medical Center
NPI 1821083700 · Critical Access Hospital · Renovo, PA
Provider details
- NPI number
- 1821083700
- Entity type
- Organization
- Primary specialty
- Critical Access HospitalHospitals
- Organization subpart
- No
- Authorized official
- Gary Dailey, Accounting / Special Projects(570) 923-1000
- License
- 549601 (PA)
Specialties & taxonomies
Hospitals
Practice location
1001 Pine St
Renovo, PA 17764-1618
Phone: (570) 923-1000
Fax: (570) 923-1812
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Pine St
Renovo, PA 17764-1618
Registry dates
- Enumerated
- 2005-09-15
- 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.