OrganizationActive
Wayne Memorial Community Health Centers
NPI 1407091077 · Federally Qualified Health Center (FQHC) · Honesdale, PA
Provider details
- NPI number
- 1407091077
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Frederick Jackson, Executive Director(570) 253-8450
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
601 Park St
Honesdale, PA 18431-1445
Phone: (570) 251-6676
Fax: (570) 251-6668
Street-level locationGet directions
Mailing address
29 Woodlands Dr
Waymart, PA 18472-9366
Other names (DBA / former)
- Doing business as
- Waymart Family Health Center
Registry dates
- Enumerated
- 2008-12-10
- Last updated
- 2010-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.