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Wayne Memorial Community Health Centers

General Practice Dentistry in Honesdale, PA · enumerated 2007 · authorized official Frederick Jackson, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740490473

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Registry record

Entity type Organization (Type 2)
Legal business name Wayne Memorial Community Health Centers
Other name <Unavail>
Practice address 601 Park St, Honesdale, PA, 18431
Enumeration date May 23, 2007
Last updated in NPPES Jan 14, 2008

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary
1223P0221X Pediatric Dentistry Dental Providers Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Secondary

Authorized official

Name Frederick Jackson
Title Executive Director

Other identifiers

Identifier Type State Issuer
1007765560002 Medicaid PA -
986352 Other PA BS DENTAL PROVIDER NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-01-14. Verify at npiregistry.cms.hhs.gov.
Where is Wayne Memorial Community Health Centers located?
The practice location on file with NPPES is in Honesdale, PA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-14.