Organization Name: | WAYNE MEMORIAL COMMUNITY HEALTH CENTERS |
NPI Number: | 1952395121 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FREDERICK JACKSON (EXECUTIVE DIRECTOR) |
Mailing Address: | 601 Park St Honesdale |
State: | PA US |
Postal Code: | 184311445 |
Phone Number: | 5702516676 |
Fax Number: | 5702538425 |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 02/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |