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BUCKTAIL MEDICAL CENTER
NPI 1710907043
Clinic/Center - Critical Access Hospital in Renovo, PA

Active since July 20, 2006
1001 PINE ST, RENOVO, PA 17764(570) 923-1019(570) 923-1650 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 04, 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 1710907043) is a healthcare organization registered as a critical access hospital in Renovo, Pennsylvania and active in the NPI registry since July 2006. The organization lists Laura Murnyack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710907043
Entity TypeOrganization
Primary Taxonomy261QC0050X
Legal Business NameBUCKTAIL MEDICAL CENTER
Location Address1001 PINE STRenovo, PA 17764-1618
Mailing Address1001 Pine StRenovo, PA 17764-1618 · (570) 923-1019 · Fax (570) 923-1650
Phone(570) 923-1019
Fax(570) 923-1650
Organization SubpartNo
Authorized OfficialLaura MurnyackCeo · (570) 531-6299
Enumeration DateJuly 20, 2006
Last NPPES UpdateAugust 7, 20264 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1710907043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Critical Access HospitalAmbulatory Health Care Facilities
Taxonomy Code261QC0050X
License✔ Licensed in PA · 549601
Definition
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.
Also ListedClinic/CenterTaxonomy 261Q00000X · License 549601 (PA)
1001 PINE ST, Renovo, PA 17764
Open in Google Maps ↗

Other Identifiers 1

Medicaid1007644390003PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 13

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

DR. RIZALITO ADVINCULA M.D.
Family Medicine
1001 PINE ST, BUCKTAIL MEDICAL CENTER
RENOVO, PA 17764
Clinton County (570) 923-1000
COURTNEY MASON
Physical Therapy Assistant
1001 PINE ST
RENOVO, PA 17764
Clinton County (570) 923-1000
BROOKE STOVER CRNP
Nurse Practitioner
1001 PINE ST
RENOVO, PA 17764
Clinton County (570) 923-1000
DR. ALAN EVERT EDWARDS MD
Emergency Medicine
1001 PINE ST
RENOVO, PA 17764
Clinton County (570) 923-1019
N CENTRAL PA EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1001 PINE ST
RENOVO, PA 17764
Clinton County (570) 923-1000
CASSANDRA ANN BRUNGARD OT
Occupational Therapist
1001 PINE ST
RENOVO, PA 17764
Clinton County (814) 506-8212
PA RTE 120 INPATIENT SERVICES, LLC
Emergency Medicine
1001 PINE ST
RENOVO, PA 17764
Clinton County (570) 923-1000
ERIC BAKER PTA
Physical Therapy Assistant
1001 PINE ST
RENOVO, PA 17764
Clinton County (570) 923-1000

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 1710907043. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Bucktail Medical Center located?

Bucktail Medical Center is located at 1001 Pine St, Renovo, PA 17764. The listed phone number is (570) 923-1019.

What is Bucktail Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Critical Access Hospital, with taxonomy code 261QC0050X.

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.