Wayne Memorial Community Health Centers

NPI #1780820068 in Lake Ariel, Pennsylvania

Provider Information

NPI Number
1780820068
Entity Type
Organization
Organization Name
Wayne Memorial Community Health Centers
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Dec 17, 2008
Last Updated
Aug 28, 2020

Practice Location

Address
543 EASTON TPKE
Address 2
SUITE 105
ZIP Code
18436-4798
Phone
(570) 689-9965

Authorized Official

Name
FREDERICK JACKSON
Title
EXECUTIVE DIRECTOR
Phone
(570) 253-8450

Specialties & Taxonomy Codes

Specialty
Internal Medicine
Obstetrics & Gynecology
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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