Organization · Type 2 NPI

Wayne Memorial Community Health Centers

Federally Qualified Health Center (FQHC) · Lake Ariel, PA

NPI number 1194377341 Active

Practice location

62 Industrial Park Rd
Lake Ariel, PA 18436-5606

Call (570) 689-7565 Map

Fax (570) 689-4803

Mailing address

601 Park St
Honesdale, PA 18431-1445

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician	208000000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

6 other providers at this address

Other federally qualified health center (fqhc) providers in Lake Ariel

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NPI record

NPI: 1194377341
Entity type: Organization (Type 2)
Issued: Jul 9, 2019
Last updated: Apr 23, 2024
Status: Active

Other names

<unavail>
Sterling Pediatric Center · doing business as
Sterling Pediatric Center · doing business as

Authorized official

Teresa Lacey
Chief Executive Officer
(570) 253-8451

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194377341

Wayne Memorial Community Health Centers's National Provider Identifier is 1194377341, issued on Jul 9, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lake Ariel, PA. The record was last updated on Apr 23, 2024.