Organization
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LACEY (CHIEF EXECUTIVE DIRECTOR)
(570) 253-8451
Entity
Organization
Contact information
Practice address
601 PARK ST, HONESDALE, PA 18431-1445
(570) 251-6676
(570) 253-8425
Mailing address
601 PARK STREET, HONESDALE, PA 18431
(570) 251-6641
(570) 253-8425
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
MD021377E
PA
208D00000X
General Practice Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD021377E
PA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/02/2005
Last updated
02/20/2025
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