Wayne Memorial Community Health Centers
Wayne Memorial Community Health Centers provides Family Medicine Physician services in Lake Como, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
- Specialties on file
- 3
Practice location Address checks out
412 Como RdLake Como, PA 18437-0000 Not confirmed with CMS for 11 years — call before visiting
Phone: (570) 798-2828
Fax: (570) 798-2636
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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) |
Record details
| NPI number | 1669654596 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Frederick Jackson — Executive Director · (570) 253-8450 |
| Other names | Northern Wayne Health Center |
| NPI enumerated | December 3, 2007 |
| Last updated in NPPES | April 7, 2015 |
| Mailing address | 601 Park St, Honesdale, PA 18431-1445 |
Other providers in Lake Como
-
Richard Keith Hacker, MD
412 Como Rd, Lake Como, PA 18437-1020 · (570) 798-2828