Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wayne Memorial Community Health Centers

Organization Obstetrics & Gynecology Physician · NPI 1134365414

Wayne Memorial Community Health Centers is an Obstetrics & Gynecology Physician in Hawley, Pennsylvania. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2

Practice location Address checks out

750 Route 739 Ste C
Hawley, PA 18428-6071
Phone: (570) 775-8838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1134365414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Womens Health Care-Lords Valley
NPI enumeratedDecember 17, 2008
Last updated in NPPESDecember 17, 2008
Mailing address110 Park St, Honesdale, PA 18431-2023