Bucktail Medical Center in Renovo - Nursing Facility/intermediate Care Facility
Bucktail Medical Center - NPI 1093701047
Bucktail Medical Center is a Nursing Facility/intermediate Care Facility in Renovo, Pennsylvania. Bucktail Medical Center practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Bucktail Medical Center is 1093701047. The last update date is 2023-03-17.
Bucktail Medical Center's current location address is 1001 Pine St, Renovo, Pennsylvania. You can contact this provider via phone number 5709231000 and fax number 5709231812. The mailing address for Bucktail Medical Center is 1001 Pine St, Renovo, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bucktail Medical Center |
|---|---|
| Address | 1001 Pine St, Renovo, Pennsylvania |
| Phone Number | 5709231000 |
| Fax Number | 5709231812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ACCOUNTANT |
|---|---|
| Authorized Official Name | Dailey Gary |
| Telephone Number | 5709231000 |
NPI Number Detail
| NPI Number | 1093701047 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2023-03-17 |
Provider Mailing Address Detail
| Address | 1001 Pine St |
|---|---|
| City | Renovo |
| State | Pennsylvania (PA) |
| Post Code | 177641618 |
| Phone Number | 5709231000 |
| Fax Number | 5709231812 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 549602 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007644390002 | PA | -- | |
| 1007644390010 | PA | -- |
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What is the unique identification code assigned to Bucktail Medical Center by the Centers for Medicare & Medicaid Services?
The Bucktail Medical Center has been issued the NPI (National Provider Identifier) 1093701047. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bucktail Medical Center located?
The Bucktail Medical Center is located at 1001 Pine St, Renovo, PA 177641618.
What is Bucktail Medical Center's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bucktail Medical Center is Nursing Facility/intermediate Care Facility, and the taxonomy code that classifies this field of practice is 313M00000X.
On what date did the Bucktail Medical Center receive the assignment of its 1093701047 from the Centers for Medicare & Medicaid Services?
The Bucktail Medical Center was issued its 1093701047 by the Centers for Medicare & Medicaid Services on 2005-09-26.
As of what date was the information regarding Bucktail Medical Center, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bucktail Medical Center, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-17.