Wayne Memorial Community Health Centers in Honesdale - Federally Qualified Health Center (fqhc)
Wayne Memorial Community Health Centers - NPI 1568648376
Wayne Memorial Community Health Centers is a Federally Qualified Health Center (fqhc) in Honesdale, Pennsylvania. Wayne Memorial Community Health Centers practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Wayne Memorial Community Health Centers is 1568648376. The last update date is 2015-04-07.
Wayne Memorial Community Health Centers's current location address is 601 Park St, Honesdale, Pennsylvania. You can contact this provider via phone number 5702538226 and fax number 5702538228. The mailing address for Wayne Memorial Community Health Centers is 601 Park St, Honesdale, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wayne Memorial Community Health Centers |
|---|---|
| Address | 601 Park St, Honesdale, Pennsylvania |
| Phone Number | 5702538226 |
| Fax Number | 5702538228 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Jackson Frederick |
| Telephone Number | 5702538450 |
NPI Number Detail
| NPI Number | 1568648376 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2015-04-07 |
Provider Mailing Address Detail
| Address | 601 Park St |
|---|---|
| City | Honesdale |
| State | Pennsylvania (PA) |
| Post Code | 184311445 |
| Phone Number | 5702538226 |
| Fax Number | 5702538228 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007765560005 | PA | -- |
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What is the Wayne Memorial Community Health Centers's unique identification number?
The Wayne Memorial Community Health Centers has been assigned the NPI (National Provider Identifier) Number 1568648376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Wayne Memorial Community Health Centers located?
The Wayne Memorial Community Health Centers is located at 601 Park St, Honesdale, PA 184311445.
What is Wayne Memorial Community Health Centers's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wayne Memorial Community Health Centers is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568648376 to Wayne Memorial Community Health Centers?
The Centers for Medicare & Medicaid Services assigned the 1568648376 to Wayne Memorial Community Health Centers on 2008-01-11.
When was the Wayne Memorial Community Health Centers's information last updated?
The Wayne Memorial Community Health Centers's information was last updated on 2015-04-07.