CARBONDALE FAMILY HEALTH CENTER
NPI 1902159619
Clinic/Center - Federally Qualified Health Center (FQHC) in Carbondale, PA

Q: 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.

Active since October 18, 2012CLIA 39D1101004 · Waiver

150 BROOKLYN ST, CARBONDALE, PA 18407(570) 282-2031(570) 282-2534 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 11, 2023, Mar 10, 2020 (2 updates tracked since 2020).

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About Carbondale Family Health Center NPPES

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

CARBONDALE FAMILY HEALTH CENTER (NPI 1902159619) is a healthcare organization registered as a federally qualified health center (fqhc) in Carbondale, Pennsylvania and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Teresa Lacey, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902159619

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameWAYNE MEMORIAL COMMUNITY HEALTH CENTERS

Location Address150 BROOKLYN STCarbondale, PA 18407-2274

Mailing Address601 Park StHonesdale, PA 18431-1445 · (570) 251-6641 · Fax (570) 253-8228

Phone(570) 282-2031

Fax(570) 282-2534

Organization SubpartNo

Authorized OfficialTeresa LaceyExecutive Director · (570) 253-8451

Enumeration DateOctober 18, 2012

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1902159619 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 ListedPediatricsTaxonomy 208000000X

150 BROOKLYN ST, Carbondale, PA 18407

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Other Names 1

Doing Business AsCarbondale 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 39D1101004

Carbondale Family Health Centers · Carbondale, PA

Active · expires Jun 17, 2027

CLIA Number39D1101004

Laboratory TypePhysician Office

Certificate Effective DateJune 18, 2025

Certificate Expiration DateJune 17, 2027

Laboratory DirectorDr. Terry J. Luma

Laboratory Phone(570) 282-2031

Laboratory LocationCarbondale Family Health Centers150 Brooklyn Street, Carbondale, PA 18407

CLIA data matches this NPI record on: Address Name 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.

DR. TERRY JOSEPH LUMA M.D.

Family Medicine