Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Other names
Lake Region Walk In
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LACEY (EXECUTIVE DIRECTOR)
(570) 253-8451
Entity
Organization
Contact information
Practice address
273 GRANDVIEW AVE, HONESDALE, PA 18431-1163
(570) 390-4545
(570) 390-4546
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-8226
(570) 253-8228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
03/05/2024
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