Wayne Memorial Community Health Centers
NPI #1134771934 in Waymart, Pennsylvania
Provider Information
- NPI Number
- 1134771934
- Entity Type
- Organization
- Organization Name
- Wayne Memorial Community Health Centers
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 11, 2019
- Last Updated
- Mar 5, 2021
Practice Location
- Address
- WAYMART PEDIATRIC CENTER
- Address 2
- 27B WOODLANDS DR
- City
- Waymart
- State
- Pennsylvania
- ZIP Code
- 18472-9366
- Phone
- (570) 488-9550
Authorized Official
- Name
- FREDERICK JACKSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (570) 253-8450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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