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WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI 1780820068


NPI Information

NPI: 1780820068
Provider Name: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Doing Business As: HAMLIN FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
543 EASTON TPKE
SUITE 105
LAKE ARIEL, PA
ZIP 18436
Phone: (570) 689-9965
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WAYNE MEMORIAL COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Lake Ariel, PA. WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI is 1780820068. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hamlin Family Health Center.

The provider's business location address is:

543 EASTON TPKE
SUITE 105
LAKE ARIEL, PA
ZIP 18436-798
Phone: (570) 689-9965
Fax: (570) 689-0387

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 12/17/2008 and was last updated on 8/28/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3207Q00000XFamily MedicineNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)PENNSYLVANIAYes

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: 4/28/2024

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