Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Other names
WOMENS HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK JACKSON (EXECUTIVE DIRECTOR)
(570) 253-8450
Entity
Organization
Contact information
Practice address
626 PARK ST, HONESDALE, PA 18431-1446
(570) 253-3005
(570) 253-0181
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 253-3005
(570) 253-0181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
PA
Other
Enumeration date
12/17/2008
Last updated
10/20/2022
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