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Wayne Memorial Community Health Centers

Organization Active NPI Federally Qualified Health Center (FQHC) · Honesdale, PA

NPI 1376950592 · NPPES record last updated Jul 21, 2014

Key facts

NPI
1376950592
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Practice address
600 Maple Ave Ste 6
Honesdale, PA 18431-1436
Phone
(570) 253-8219
Fax
(570) 253-8242
NPI assigned
Jul 21, 2014
Organization subpart
No

Authorized official

Name
Frederick Jackson
Title
Executive Director
Phone
(570) 253-8450

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Hamlin Family Health Center (27 organizations share this tax ID)

Locations

600 Maple Ave
Ste 6
Honesdale, PA 18431
Phone (570) 253-8219

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X PA
Psychiatry Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084P0800X PA
Federally Qualified Health Center (FQHC) 261QF0400X PA Yes

Addresses

Primary practice location

600 Maple Ave Ste 6
Honesdale, PA 18431-1436

Mailing address

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8226

Other names

  • Honesdale Behavioral Health Doing business as

Other providers in Honesdale, PA

All providers in Honesdale, PA · Federally Qualified Health Center (FQHC) in Pennsylvania

Sources for this page

Verify at the official NPI Registry.