BUCKTAIL MEDICAL CENTER NPI 1518944735

NPI Information

  • NPI: 1518944735
  • Provider Name: BUCKTAIL MEDICAL CENTER
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Address: 1001 PINE STREET
    RENOVO, PA
    ZIP 17764
  • Phone: (570) 923-1000

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NPI Details

BUCKTAIL MEDICAL CENTER is an ambulance in Renovo, PA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). BUCKTAIL MEDICAL CENTER NPI is 1518944735. The provider is registered as an organization entity type.

The provider's business location address is:

1001 PINE STREET
RENOVO, PA
ZIP 17764-618
Phone: (570) 923-1000
Fax: (570) 923-1812

The provider's authorized official is Gary Dailey .
The authorized official title is Accountant and has the following contact phone number (570) 923-1000.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 3/17/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance05131PENNSYLVANIANo
2341600000XAmbulance15023PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
159001331OTHERPENNSYLVANIARAILROAD MEDICARE
21007644390007MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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