WAYNE MEMORIAL COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Lake Como, PA. WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI is 1669654596. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northern Wayne Health Center.
The provider's business location address is:
412 COMO ROAD
LAKE COMO, PA
ZIP 18437-000
Phone: (570) 798-2828
Fax: (570) 798-2636
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 CLIA number assigned to this NPI record is 39D0921485 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/3/2007 and was last updated on 4/7/2015.