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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Access Hospital |
261QC0050X | |||
Clinic/Center |
261Q00000X |
| NPI Number | 1710907043 |
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| LBN Legal business name | BUCKTAIL MEDICAL CENTER | ||||||||
| Authorized official | GARY DAILEY - (ACCOUNTANT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/20/2006 | ||||||||
| Last updated | 03/17/2023 - About 3 years ago | ||||||||
| Identifiers |
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BUCKTAIL MEDICAL CENTER
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BUCKTAIL MEDICAL CENTER