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PIKE COUNTYFAMILY HEALTH CENTER
NPI 1477736254
Clinic/Center - Federally Qualified Health Center (FQHC) in Hawley, PA

Active since December 14, 2007CLIA 39D0885599 · Waiver
750 ROUTE 739, HAWLEY, PA 18428(570) 775-7100 Get Directions Write a Review

NPPES record last updated: December 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pike Countyfamily Health Center NPPES

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

PIKE COUNTYFAMILY HEALTH CENTER (NPI 1477736254) is a healthcare organization registered as a federally qualified health center (fqhc) in Hawley, Pennsylvania and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2027 and lists Frederick Jackson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477736254
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Location Address750 ROUTE 739Hawley, PA 18428-6071
Mailing Address601 Park StHonesdale, PA 18431-1445 · (570) 253-8101
Phone(570) 775-7100
Organization SubpartNo
Authorized OfficialFrederick JacksonExecutive Director · (570) 253-8450
Enumeration DateDecember 14, 2007
Last NPPES UpdateDecember 23, 2008
✔ NPI 1477736254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X · License OS011217 (PA)
Also ListedInternal MedicineTaxonomy 207R00000X · License MD428487 (PA)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
750 ROUTE 739, Hawley, PA 18428
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Other Names 1

Doing Business AsPike Countyfamily Health Center

Other Identifiers 3

Medicare OSCAR/certification559496WI
Medicaid1007765560005PA
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 39D0885599

Pike County Family Health Ctr · Hawley, PA
Active · expires Aug 31, 2027
CLIA Number39D0885599
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2025
Certificate Expiration DateAugust 31, 2027
Laboratory DirectorDr. Traceyan R. Mendez
Laboratory Phone(570) 775-7100
Laboratory LocationPike County Family Health Ctr750 Route 739, Hawley, PA 18428
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

NEIL PETROSKY LCSW
Social Worker (Clinical)
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-4081
LYNN SALVATI CRNP
Nurse Practitioner
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-7100
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
750 ROUTE 739, SUITE C
HAWLEY, PA 18428
Wayne County (570) 775-8838
TRACEYAN R. MENDEZ M.D.
Family Medicine
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-7100
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
750 ROUTE 739, SUITE D
LORDS VALLEY, PA 18428
Wayne County (570) 251-6534
PAMELA GAENG
Nurse Practitioner (Family)
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-7100
JOHN MICHAEL WEISENREIDER MD
Internal Medicine
750 ROUTE 739
HAWLEY, PA 18428
Wayne County (570) 775-7100
DONG HUN HAN
Dentist
750 ROUTE 739
LORDS VALLEY, PA 18428
Wayne County (570) 775-7818

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 1477736254. It was assigned to this organization in the NPPES registry on December 14, 2007. The provider is doing business as Pike Countyfamily Health Center.

Where is Wayne Memorial Community Health Centers located?

Wayne Memorial Community Health Centers is located at 750 Route 739, Hawley, PA 18428. The listed phone number is (570) 775-7100.

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 39D0885599) is associated with this NPI, valid through August 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wayne Memorial Community Health Centers accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Wayne Memorial Community Health Centers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wayne Memorial Community Health Centers was last updated on December 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.