Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Other names
Sterling Pediatric Center
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LACEY (CHIEF EXECUTIVE OFFICER)
(570) 253-8451
Entity
Organization
Contact information
Practice address
62 INDUSTRIAL PARK RD, LAKE ARIEL, PA 18436-5606
(570) 689-7565
(570) 689-4803
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
04/23/2024
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