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Organization

WAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Active
Other names
HAMLIN FAMILY HEALTH CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK JACKSON (EXECUTIVE DIRECTOR)
(570) 253-8450
Entity
Organization

Contact information

Practice address
543 EASTON TPKE, SUITE 105, LAKE ARIEL, PA 18436-4798
(570) 689-9965
(570) 689-0387
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 689-9965
(570) 689-0387

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
PA

Other

Enumeration date
12/17/2008
Last updated
08/28/2020
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