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 1558882720

Wayne Memorial Community Health Centers is a Family Medicine Physician in Honesdale, Pennsylvania. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
4

Practice location Address checks out

600 Maple Ave Ste 15
Honesdale, PA 18431-1460
Phone: (570) 253-8219
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
Internal Medicine Physician Taxonomy 207R00000X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1558882720
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Honesdale Behavorial Health
NPI enumeratedJune 28, 2017
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing address601 Park St, Honesdale, PA 18431-1445

Other providers in Honesdale