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WAYMART FAMILY HEALTH CENTER
NPI 1407091077
Clinic/Center - Federally Qualified Health Center (FQHC) in Honesdale, PA

Active since December 10, 2008CLIA 39D2134025 · Waiver
601 PARK ST, HONESDALE, PA 18431(570) 251-6676(570) 251-6668 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waymart Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYMART FAMILY HEALTH CENTER (NPI 1407091077) is a healthcare organization registered as a federally qualified health center (fqhc) in Honesdale, Pennsylvania and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Frederick Jackson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1407091077
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Location Address601 PARK STHonesdale, PA 18431-1445
Mailing Address29 Woodlands DrWaymart, PA 18472-9366 · (570) 251-6676 · Fax (570) 251-6668
Phone(570) 251-6676
Fax(570) 251-6668
Organization SubpartNo
Authorized OfficialFrederick JacksonExecutive Director · (570) 253-8450
Enumeration DateDecember 10, 2008
Last NPPES UpdateJuly 12, 2010
✔ NPI 1407091077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
601 PARK ST, Honesdale, PA 18431
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Other Names 1

Doing Business AsWaymart Family Health Center

Other Identifiers 3

Medicare OSCAR/certification559496WI
Medicare OSCAR/certification391007WI
Medicare PIN559496PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2134025

Waymart Family Health Center · Waymart, PA
Active · expires Jul 24, 2027
CLIA Number39D2134025
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorDr. Terry Luma
Laboratory Phone(570) 647-0523
Laboratory LocationWaymart Family Health Center29 Woodlands Drive, Waymart, PA 18472
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA A KELLY CRNA
Nurse Anesthetist, Certified Registered
601 PARK ST
HONESDALE, PA 18431
Wayne County (570) 647-4381
MS. CAROL KNEIER RD, LDN, CDE
Dietitian, Registered
601 PARK ST
HONESDALE, PA 18431
Wayne County (570) 253-8149
DR. SAMUEL K CHOI M.D.
Radiology (Diagnostic Radiology)
601 PARK ST
HONESDALE, PA 18431
Wayne County (570) 253-8100
WALTER J KANIEFSKI MD
Emergency Medicine
601 PARK ST, EMERGENCY MEDICINE DEPARTMENT
HONESDALE, PA 18431
Wayne County (570) 253-8140
WAYNE MEMORIAL HOSPITAL SPU
Clinic/Center
601 PARK ST
HONESDALE, PA 18431
Wayne County (570) 253-8100
CLIFFORD CARROL M.D.
Internal Medicine (Gastroenterology)
601 PARK ST
HONESDALE, PA 18431
Wayne County (570) 253-8185
WAYNE MEMORIAL HOSPITAL
Clinic/Center (Adult Mental Health)
601 PARK ST
HONESDALE, PA 18431
Wayne County (570) 253-8100
KAREN SUE KAY PHARMACIST
Pharmacist
601 PARK ST
HONESDALE, PA 18431
Wayne County (570) 253-8163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Memorial Community Health Centers's NPI number?

The NPI number for Wayne Memorial Community Health Centers is 1407091077. It was assigned to this organization in the NPPES registry on December 10, 2008. The provider is doing business as Waymart Family Health Center.

Where is Wayne Memorial Community Health Centers located?

Wayne Memorial Community Health Centers is located at 601 Park St, Honesdale, PA 18431. The listed phone number is (570) 251-6676.

What is Wayne Memorial Community Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Wayne Memorial Community Health Centers hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2134025) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wayne Memorial Community Health Centers was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.