Wayne Memorial Community Health Centers
NPI #1184055428 in Lords Valley, Pennsylvania
Provider Information
- NPI Number
- 1184055428
- Entity Type
- Organization
- Organization Name
- Wayne Memorial Community Health Centers
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 12, 2013
- Last Updated
- Dec 12, 2013
Practice Location
- Address
- 750 ROUTE 739
- Address 2
- SUITE D
- City
- Lords Valley
- State
- Pennsylvania
- ZIP Code
- 18428-6071
- Phone
- (570) 251-6534
Authorized Official
- Name
- FREDERICK JACKSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (570) 253-8450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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