1. Home
  2. Directory
  3. Pennsylvania
  4. Lake Ariel
  5. Clinic Center
  6. NPI Profile

HAMLIN FAMILY HEALTH CENTER
NPI 1780820068
Clinic/Center - Federally Qualified Health Center (FQHC) in Lake Ariel, PA

Active since December 17, 2008CLIA 39D0883764 · Waiver
543 EASTON TPKE, SUITE 105, LAKE ARIEL, PA 18436(570) 689-9965(570) 689-0387 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hamlin Family Health Center NPPES

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

HAMLIN FAMILY HEALTH CENTER (NPI 1780820068) is a healthcare organization registered as a federally qualified health center (fqhc) in Lake Ariel, Pennsylvania and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Frederick Jackson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780820068
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameWAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Location Address543 EASTON TPKE, SUITE 105Lake Ariel, PA 18436-4798
Mailing Address601 Park StHonesdale, PA 18431-1445 · (570) 689-9965 · Fax (570) 689-0387
Phone(570) 689-9965
Fax(570) 689-0387
Organization SubpartNo
Authorized OfficialFrederick JacksonExecutive Director · (570) 253-8450
Enumeration DateDecember 17, 2008
Last NPPES UpdateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1780820068 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
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
543 EASTON TPKE, Lake Ariel, PA 18436
Open in Google Maps ↗

Other Names 1

Doing Business AsHamlin Family Health Center

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 39D0883764

Hamlin Family Health Center · Lake Ariel, PA
Active · expires Mar 16, 2028
CLIA Number39D0883764
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorDr. Charles J. Kovalchick
Laboratory Phone(717) 689-9965
Laboratory LocationHamlin Family Health Center543 Easton Turnpike Suite 105, Lake Ariel, PA 18436
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

STEPHEN A POKOWICZ, DC
Chiropractor (Rehabilitation)
543 EASTON TPKE, STE 102
LAKE ARIEL, PA 18436
Wayne County (570) 689-5757
DANIEL HARMUTH FNP-BC
Nurse Practitioner (Family)
543 EASTON TPKE, SUITE 105
LAKE ARIEL, PA 18436
Wayne County (570) 689-9965
MATERNAL & FAMILY HEALTH SERVICES INC
Clinic/Center
543 EASTON TPKE
LAKE ARIEL, PA 18436
Wayne County (570) 390-5000
BRIANNE FRASCELLA CRNP
Nurse Practitioner (Family)
543 EASTON TPKE
LAKE ARIEL, PA 18436
Wayne County (570) 689-9965
DR. CHARLES J KOVALCHICK DO
Family Medicine
543 EASTON TPKE
LAKE ARIEL, PA 18436
Wayne County (570) 689-9965
NANCY GREER CRNP
Nurse Practitioner
543 EASTON TPKE
LAKE ARIEL, PA 18436
Wayne County (570) 689-9965
MS. SABRINA ELISE SHANDER CRNP
Nurse Practitioner (Family)
543 EASTON TPKE
LAKE ARIEL, PA 18436
Wayne County (570) 689-9965

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 1780820068. It was assigned to this organization in the NPPES registry on December 17, 2008. The provider is doing business as Hamlin Family Health Center.

Where is Wayne Memorial Community Health Centers located?

Wayne Memorial Community Health Centers is located at 543 Easton Tpke Suite 105, Lake Ariel, PA 18436. The listed phone number is (570) 689-9965.

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 39D0883764) is associated with this NPI, valid through March 16, 2028. 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 August 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.