| Organization Name: | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
| NPI Number: | 1154687762 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK JACKSON (EXECUTIVE DIRECTOR) |
| Mailing Address: | 507 High St Honesdale |
| State: | PA US |
| Postal Code: | 184311733 |
| Phone Number: | 5702538643 |
| Fax Number: | 5702538645 |
| NPI Enumeration Date: | 04/09/2012 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RP1001X |
| License Number: | MD069238L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Pulmonary Disease |
| Taxonomy Definition: | An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |