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CHC08760-00 WAYNE MEMORIAL COMMUNITY HEALTH CENTERS (Active)
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Main Details
Name
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-030933
340B ID
CHC08760-00
Grant Number
H80CS08760
Additional Details
Current Program Status
Active
Registration Date
12/16/2009
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
600 Maple Ave
6
HONESDALE, PA 18431
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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April 2025
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