Organization · Type 2 NPI

Wayne Memorial Community Health Centers

Federally Qualified Health Center (FQHC) · Honesdale, PA

NPI number 1407091077 Active

Practice location

601 Park St
Honesdale, PA 18431-1445

Call (570) 251-6676 Map

Fax (570) 251-6668

Mailing address

29 Woodlands Dr
Waymart, PA 18472-9366

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1407091077

Wayne Memorial Community Health Centers's National Provider Identifier is 1407091077, issued on Dec 10, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Honesdale, PA. The record was last updated on Jul 12, 2010.