Organization · Type 2 NPI
Wayne Memorial Community Health Centers
Federally Qualified Health Center (FQHC) · Lords Valley, PA
NPI number
1184055428
Active
Practice location
750 Route 739, Suite D
Lords Valley, PA 18428-6071
Mailing address
601 Park St
Honesdale, PA 18431-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
9 other providers at this address
- Wayne Memorial Community Health CentersFederally Qualified Health Center (FQHC) Hawley, PA NPI 1134365414
- Wayne Memorial Community Health CentersFederally Qualified Health Center (FQHC) Hawley, PA NPI 1477736254
- Dong Hun HanDentist Lords Valley, PA NPI 1770256786
- Jessica Hatala, DMDGeneral Practice Dentistry Lords Valley, PA NPI 1972128791
- John Michael Weisenreider, MDInternal Medicine Physician Hawley, PA NPI 1669425831
- Lynn Salvati, CRNPNurse Practitioner Lords Valley, PA NPI 1114406824
- Neil Petrosky, LCSWClinical Social Worker Lords Valley, PA NPI 1093106635
- Pamela GaengFamily Nurse Practitioner Lords Valley, PA NPI 1548998826
- Traceyan R. Mendez, MDFamily Medicine Physician Lords Valley, PA NPI 1144260126
About NPI 1184055428
Wayne Memorial Community Health Centers's National Provider Identifier is 1184055428, issued on Dec 12, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lords Valley, PA. The record was last updated on Dec 12, 2013.