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

Wayne Memorial Community Health Centers

Organization Pediatrics Physician · NPI 1336416619

Wayne Memorial Community Health Centers is a Pediatrics Physician in Carbondale, Pennsylvania. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

152 Brooklyn St
Carbondale, PA 18407-2208
Phone: (570) 282-2031
Fax: (570) 282-2534
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1336416619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Carbondale Pediatric Center
NPI enumeratedNovember 30, 2011
Last updated in NPPESNovember 30, 2011
Mailing address601 Park St, Honesdale, PA 18431-1445

Other providers in Carbondale