Wayne Memorial Community Health Centers
NPI 1669654596 · Federally Qualified Health Center (FQHC) · Lake Como, PA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wayne Memorial Community Health Centers is a Federally Qualified Health Center (FQHC) organization in Lake Como, PA (NPI 1669654596).
Provider details
- NPI number
- 1669654596
- 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
- License
- OS011217 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Other names (DBA / former)
- Doing business as
- Northern Wayne Health Center
Registry dates
- Enumerated
- 2007-12-03
- Last updated
- 2015-04-07
Frequently asked questions
- What is Wayne Memorial Community Health Centers's NPI number?
- Wayne Memorial Community Health Centers's National Provider Identifier (NPI) is 1669654596, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wayne Memorial Community Health Centers?
- Wayne Memorial Community Health Centers is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Wayne Memorial Community Health Centers located?
- Wayne Memorial Community Health Centers's practice location on file with NPPES is 412 Como Road, Lake Como, PA 18437-0000.
- What is Wayne Memorial Community Health Centers's phone number?
- The practice phone number listed in the NPPES registry for Wayne Memorial Community Health Centers is (570) 798-2828.
- Does Wayne Memorial Community Health Centers accept Medicare?
- Wayne Memorial Community Health Centers is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wayne Memorial Community Health Centers?
- The authorized official listed on Wayne Memorial Community Health Centers's NPPES record is Frederick Jackson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wayne Memorial Community Health Centers's NPI active?
- Yes — Wayne Memorial Community Health Centers's NPI (1669654596) is active in the NPPES registry as of the last update on 2015-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.