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WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI 1801266879


NPI Information

NPI: 1801266879
Provider Name: WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Doing Business As: HIGHLAND PHYSICIANS FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1839 FAIR AVE
HONESDALE, PA
ZIP 18431
Phone: (570) 251-6500
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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 1801266879. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Highland Physicians Family Health Center.

The provider's business location address is:

1839 FAIR AVE
HONESDALE, PA
ZIP 18431-121
Phone: (570) 251-6500

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 10/2/2015 and was last updated on 10/8/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3207V00000XObstetrics & GynecologyNo
4261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1559496MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA

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: 11/14/2023

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