Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wayne Memorial Community Health Centers

Organization Family Medicine Physician · NPI 1477736254

Wayne Memorial Community Health Centers provides Family Medicine Physician services in Hawley, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
4

Practice location Address checks out

750 Route 739
Hawley, PA 18428-6071 Not confirmed with CMS for 17 years — call before visiting
Phone: (570) 775-7100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X · Licence OS011217 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD428487 (PA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X

Record details

NPI number1477736254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Jackson — Executive Director · (570) 253-8450
Other names Pike Countyfamily Health Center
NPI enumeratedDecember 14, 2007
Last updated in NPPESDecember 23, 2008
Mailing address601 Park St, Honesdale, PA 18431-1445

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