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 1902159619

Wayne Memorial Community Health Centers is a Family Medicine Physician in Carbondale, Pennsylvania. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
4

Practice location Address checks out

150 Brooklyn St
Carbondale, PA 18407-2274
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

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1902159619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresa Lacey — Executive Director · (570) 253-8451
Other names Carbondale Family Health Center; Carbondale Family Health Center
NPI enumeratedOctober 18, 2012
Last updated in NPPESApril 11, 2023
Certification dateApril 11, 2023
Mailing address601 Park St, Honesdale, PA 18431-1445

Other providers in Carbondale