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SCH390125-00 WAYNE MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
WAYNE MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH390125-00
Medicare Provider Number
390125
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/1/2018
Last Recertification Date
9/12/2023
Termination Date
Termination Reason
1/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Wayne Memorial Hospital
Patricia Dunsinger, CFO
(570) 253-8133
Primary Contact
Wayne Memorial Hospital
Melissa Riggs, Senior Accountant
(570) 253-8109
Addresses
Street Address
601 PARK ST
HONESDALE, PA 18431
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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