Organization
WAYNE MEMORIAL HOSPITAL
Active
Organization
WAYNE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J CLIFFORD (DIRECTOR OF FINANCE)
(570) 253-8101
Entity
Organization
Contact information
Practice address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8100
(570) 253-8425
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8100
(570) 253-8425
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007383590020
—
PA
Enumeration date
07/23/2007
Last updated
07/23/2007
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