BUCKTAIL MEDICAL CENTER
NPI 1518944735
Ambulance in Renovo, PA

Active since December 29, 2005CLIA 39D0189070 · Certificate of Compliance
1001 PINE STREET, RENOVO, PA 17764(570) 923-1000(570) 923-1812 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Mar 17, 2023, Apr 1, 2021 and 1 more (4 updates tracked since 2016).

About Bucktail Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BUCKTAIL MEDICAL CENTER (NPI 1518944735) is a healthcare organization registered as an ambulance in Renovo, Pennsylvania and active in the NPI registry since December 2005. The organization holds a CLIA Certificate of Compliance certificate valid through November 15, 2027 and lists Laura Murnyack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1518944735
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameBUCKTAIL MEDICAL CENTER
Location Address1001 PINE STREETRenovo, PA 17764-1618
Mailing Address1001 Pine StRenovo, PA 17764-1618 · (570) 923-1000 · Fax (570) 923-1812
Fax(570) 923-1812
Organization SubpartNo
Authorized OfficialLaura MurnyackCeo · (570) 531-6299
Enumeration DateDecember 29, 2005
Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1518944735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Licenses✔ Licensed in PA · 15023✔ Licensed in PA · 05131
Definition
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).
1001 PINE STREET, Renovo, PA 17764

Other Identifiers 2

Other59001331PA · Railroad Medicare
Medicaid1007644390007PA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 39D0189070

Bucktail Medical Center · South Renovo, PA
Active · expires Nov 15, 2027
CLIA Number39D0189070
Laboratory TypeHospital
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorDr. Husam F. Hamati
Laboratory Phone(570) 447-9566
Laboratory LocationBucktail Medical Center1001 Pine Street, South Renovo, PA 17764
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Medicare Defined Swing Bed Unit
1001 PINE STREET
RENOVO, PA 17764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bucktail Medical Center's NPI number?

The NPI number for Bucktail Medical Center is 1518944735. It was assigned to this organization in the NPPES registry on December 29, 2005.

Where is Bucktail Medical Center located?

Bucktail Medical Center is located at 1001 Pine Street, Renovo, PA 17764. The listed phone number is (570) 923-1000.

What is Bucktail Medical Center's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Bucktail Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 39D0189070) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bucktail Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Bucktail Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bucktail Medical Center was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.