Wayne Memorial Community Health Centers
NPI #1669654596 in Lake Como, Pennsylvania
Provider Information
- NPI Number
- 1669654596
- Entity Type
- Organization
- Organization Name
- Wayne Memorial Community Health Centers
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 3, 2007
- Last Updated
- Apr 7, 2015
Practice Location
- Address
- 412 COMO ROAD
- City
- Lake Como
- State
- Pennsylvania
- ZIP Code
- 18437-0000
- Phone
- (570) 798-2828
Authorized Official
- Name
- MR. FREDERICK JACKSON
- Title
- EXECUTIVE DIRECTOR
- Phone
- (570) 253-8450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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