WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI 1346854270

NPI Information

NPI: 1346854270
Provider Name: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Doing Business As: LAKE REGION WALK IN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
273 GRANDVIEW AVE
HONESDALE, PA
ZIP 18431
Phone: (570) 390-4545
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WAYNE MEMORIAL COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Honesdale, PA. WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI is 1346854270. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lake Region Walk In.

The provider's business location address is:

273 GRANDVIEW AVE
HONESDALE, PA
ZIP 18431-163
Phone: (570) 390-4545
Fax: (570) 390-4546

The provider's authorized official is Teresa Lacey .
The authorized official title is Executive Director and has the following contact phone number (570) 253-8451.

The enumeration date for this NPI number is 9/8/2020 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207P00000X	Emergency Medicine		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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