Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Other names
Lake Ariel Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LACEY (CHIEF EXECUTIVE OFFICER)
(570) 253-8451
Entity
Organization
Contact information
Practice address
358 HAMLIN HWY, LAKE ARIEL, PA 18436-9382
(570) 689-9965
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
01/16/2025
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