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

Wayne Memorial Community Health Centers

Organization Family Medicine Physician · NPI 1477736254

Wayne Memorial Community Health Centers is a Family Medicine Physician in Hawley, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
4

Practice location Address checks out

750 Route 739
Hawley, PA 18428-6071
Phone: (570) 775-7100
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
Family Medicine Physician Taxonomy 207Q00000X · Licence OS011217 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD428487 (PA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1477736254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Pike Countyfamily Health Center
NPI enumeratedDecember 14, 2007
Last updated in NPPESDecember 23, 2008
Mailing address601 Park St, Honesdale, PA 18431-1445

Other providers in Hawley