Northern Wayne Health Center
LBN: Wayne Memorial Community Health Centers
Northern Wayne Health Center is an health care organization with primary practice located at 412 Como Road , Lake Como PA 18437-0000. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Wayne Memorial Community Health Centers can be contacted via phone (570) 798-2828, or through Jackson, Frederick via phone (570) 253-8450.
Contact Information
Primary practice address
412 Como Road
Lake Como PA 18437-0000
Phone: (570) 798-2828
Fax: (570) 798-2636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS011217 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD428487 | Pennsylvania |
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1669654596 |
|---|---|
| LBN Legal business name | Wayne Memorial Community Health Centers |
| DBA Doing business as | Northern Wayne Health Center |
| Authorized official | Jackson, Frederick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 3rd, 2007 |
| Last updated | Apr 7th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669654596 | NPPES |
| Pennsylvania | MEDICAID | 1007765560005 |
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