Bucktail Medical Center

NPI 1093701047 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1093701047
Enumeration Date 09/26/2005
Last Updated 03/03/2016
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name GEORGE GEORGE
Position CONTROLLER
Phone (570) 923-1000
Fax (570) 923-1812
Practice Location
1001 PINE ST
RENOVO PA, 17764-1618, US
Phone (570) 923-1000
Fax (570) 923-1812
Business Location
1001 PINE ST
RENOVO PA, 17764-1618, US
Phone (570) 923-1000
Fax (570) 923-1812
Toxanomy
Taxonomy Code 313M00000X
License State Pennsylvania
License Number 549602
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According to our database, Bucktail Medical Center NPI is 1093701047, taxonomy code is 313M00000X and license number is 549602, license state is located at Pennsylvania. Bucktail Medical Center physically located at 1001 Pine St, Renovo PA, 17764-1618. NPI Number 1033115704 has the healthcare provider type.

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1093701047 NPI number is provided on an as is basis without warranty of any kind. 1093701047 is maintained by the National Plan & Provider Enumeration System. The contents of Bucktail Medical Center are for informational purposes only.