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 1780820068

Wayne Memorial Community Health Centers is a Family Medicine Physician in Lake Ariel, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
Specialties on file
4

Practice location Address checks out

543 Easton Tpke Ste 105
Lake Ariel, PA 18436-4798
Phone: (570) 689-9965
Fax: (570) 689-0387
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 (PA)
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1780820068
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Hamlin Family Health Center; Hamlin Family Health Center
NPI enumeratedDecember 17, 2008
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address601 Park St, Honesdale, PA 18431-1445

Other providers in Lake Ariel