Wayne Memorial Community Health Centers is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lake Como, Pennsylvania. The current practice location for Wayne Memorial Community Health Centers is 412 Como Road, Lake Como, Pennsylvania. For appointments, you can reach them via phone at
(570) 798-2828. The mailing address for Wayne Memorial Community Health Centers is 601 Park St, Honesdale, Pennsylvania and phone number is (570) 253-8226.
Wayne Memorial Community Health Centers is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1669654596. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(570) 798-2828.
Primary Care Clinic Profile
| Full Name | Wayne Memorial Community Health Centers |
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| Speciality | Clinic/Center |
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| Location | 412 Como Road, Lake Como, Pennsylvania |
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| Authorized Official Name and Position | Frederick Jackson (EXECUTIVE DIRECTOR) |
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| Authorized Official Contact | 5702538450 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wayne Memorial Community Health Centers
601 Park St
Honesdale
PA 18431-1445
Ph: (570) 253-8226 | Wayne Memorial Community Health Centers
412 Como Road
Lake Como
PA 18437-0000
Ph: (570) 798-2828 |
NPI Details:
| NPI Number | 1669654596 |
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| Provider Enumeration Date | 12/03/2007 |
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| Last Update Date | 04/07/2015 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3072598937 |
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| Medicare Enrollment ID | O20080417000660 |
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Medical Identifiers
Medical identifiers for Wayne Memorial Community Health Centers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669654596 | NPI | - | NPPES |
| 1007765560005 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS011217 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | MD428487 (Pennsylvania) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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