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CHC08760-03 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (Active)
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Main Details
Name
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Subdivision Name
Northern Wayne Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008698
340B ID
CHC08760-03
Grant Number
H80CS08760
Additional Details
Current Program Status
Active
Registration Date
12/9/2009
Participating Start Date
1/1/2010
Participating Approval Date
12/21/2009
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
Wayne Memorial Community Health Centers
Robert J. Fortuner II, Finance Director
(570) 253-8337
Primary Contact
Wayne Memorial Community Health Centers
Emily Wood, Senior Accountant
(570) 251-6562
Addresses
Street Address
412 Como Road
Lake Como, PA 18437
Billing Address
Wayne Memorial Community Health Centers
601 PARK STREET
HONESDALE, PA 18431
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/28/10 UPDATED SUBDIV NAME (WAS LAKEWOOD FAMILY HEALTH CENTER), UPDATED PHYS ADD (WAS RR BOX 1006, CORNER RT 370 AND LAKE COMO RD)
12/28/2010
April 2025
April 2025
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