Wayne Memorial Community Health Centers
NPI #1902159619 in Carbondale, Pennsylvania
Provider Information
- NPI Number
- 1902159619
- Entity Type
- Organization
- Organization Name
- Wayne Memorial Community Health Centers
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 18, 2012
- Last Updated
- Apr 11, 2023
Practice Location
- Address
- 150 BROOKLYN ST
- City
- Carbondale
- State
- Pennsylvania
- ZIP Code
- 18407-2274
- Phone
- (570) 282-2031
Authorized Official
- Name
- TERESA LACEY
- Title
- EXECUTIVE DIRECTOR
- Phone
- (570) 253-8451
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Internal Medicine |
| Pediatrics |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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