Organization · Type 2 NPI
Wayne Memorial Community Health Centers
Federally Qualified Health Center (FQHC) · Lake Ariel, PA
NPI number
1780820068
Active
Practice location
543 Easton Tpke, Suite 105
Lake Ariel, PA 18436-4798
Fax (570) 689-0387
Mailing address
601 Park St
Honesdale, PA 18431-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
7 other providers at this address
- Maternal & Family Health Services IncClinic/Center Lake Ariel, PA NPI 1679168777
- Stephen A Pokowicz, DCRehabilitation Chiropractor Lake Ariel, PA NPI 1538515622
- Brianne Frascella, CRNPFamily Nurse Practitioner Lake Ariel, PA NPI 1407437023
- Charles J. Kovalchick, DOFamily Medicine Physician Lake Ariel, PA NPI 1144215682
- Daniel Harmuth, FNP-BCFamily Nurse Practitioner Lake Ariel, PA NPI 1346646114
- Nancy Greer, CRNPNurse Practitioner Lake Ariel, PA NPI 1710090824
- Sabrina Elise Shander, CRNPFamily Nurse Practitioner Lake Ariel, PA NPI 1336928571
Other federally qualified health center (fqhc) providers in Lake Ariel
About NPI 1780820068
Wayne Memorial Community Health Centers's National Provider Identifier is 1780820068, issued on Dec 17, 2008. 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 Aug 28, 2020.