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

Organization Pediatrics Physician · NPI 1932751187

Wayne Memorial Community Health Centers is a Pediatrics Physician in Honesdale, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1837 Fair Ave
Honesdale, PA 18431-2121
Phone: (570) 253-5838
Fax: (570) 253-6678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1932751187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Honesdale Pediatric Center; Honesdale Pediatric Center
NPI enumeratedJuly 9, 2019
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address601 Park St, Honesdale, PA 18431-1445

Other providers in Honesdale