WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI 1568648376

NPI Information

NPI: 1568648376
Provider Name: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Doing Business As: HONESDALE FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
600 MAPLE AVE
HONESDALE, PA
ZIP 18431
Phone: (570) 251-6672
Get Directions

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Honesdale, PA. WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI is 1568648376. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Honesdale Family Health Center.

The provider's business location address is:

600 MAPLE AVE
HONESDALE, PA
ZIP 18431-459
Phone: (570) 251-6672
Fax: (570) 253-8992

The provider's authorized official is Frederick Jackson .
The authorized official title is Executive Director and has the following contact phone number (570) 253-8450.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 4/7/2015.

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	207V00000X	Obstetrics & Gynecology		No
2	207Q00000X	Family Medicine		No
3	207R00000X	Internal Medicine		No
4	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	559496	MEDICARE PIN	PENNSYLVANIA
2	559496	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
3	1007765560005	MEDICAID	PENNSYLVANIA
4	391981	MEDICARE OSCAR/CERTIFICATION	WISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »