WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI 1932751187

NPI Information

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Honesdale, PA. WAYNE MEMORIAL COMMUNITY HEALTH CENTERS NPI is 1932751187. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Honesdale Pediatric Center.

The provider's business location address is:

1837 FAIR AVE
HONESDALE, PA
ZIP 18431-121
Phone: (570) 253-5838
Fax: (570) 253-6678

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 7/9/2019 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:

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