WAYNE MEMORIAL HOSPITAL (NPI# 1023218690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023218690 |
| Entity Type | Organization |
| Organization Name | WAYNE MEMORIAL HOSPITAL |
| Practice Address |
601 Park St Honesdale PA 18431-1445 |
| Practice Telephone | 5702538100 |
| Practice Fax Number | 5702538425 |
| Mailing Telephone | 5702538100 |
| Mailing Fax Number | 5702538425 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Authorized Official Name | MICHAEL J CLIFFORD (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5702538101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007383590020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679500334 | Wayne Memorial Hospital | Medicare Defined Swing Bed Unit | 601 Park Street, Honesdale, PA 18431 | 2006-06-27 |
| 1124026182 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2005-07-13 |
| 1386028207 | Wayne Memorial Hospital | Hospitalist | 601 Park Street, Honesdale, PA 18431-1499 | 2015-07-10 |
| 1649573023 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2010-12-07 |
| 1114195617 | Wayne Memorial Hospital | General Acute Care Hospital | 2700 Wayne Memorial Dr., Goldsboro, NC 27534-9494 | 2008-02-19 |
| 1700054582 | Wayne Memorial Hospital | General Acute Care Hospital | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2008-02-14 |
| 1851591424 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2007-07-23 |
| 1083749097 | Wayne Memorial Hospital | Pharmacy | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2007-02-22 |
| 1447364385 | Wayne Memorial Hospital | Rehabilitation Unit | 601 Park St, Honesdale, PA 18431-1445 | 2006-08-18 |
| 1295750875 | Wayne Memorial Hospital | Home Health | 601 Park St, Honesdale, PA 18431-1445 | 2006-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAYNE MEMORIAL HOSPITAL | 601 Park St, Honesdale, PA 18431-1498 |
| North Carolina Corporations | Wayne Memorial Hospital Foundation | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 |
| Street Address |
601 PARK ST |
| City | HONESDALE |
| State | PA |
| Zip Code | 18431-1445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026182 | Wayne Memorial Hospital | General Acute Care Hospital | 601 Park St, Honesdale, PA 18431-1445 | 2005-07-13 |
| 1790318053 | Ann Marie Elizabeth Kretchik | Dietitian, Registered | 601 Park St, Honesdale, PA 18431-1498 | 2020-02-14 |
| 1548807340 | Dana Marie Gallik | Registered Nurse | 601 Park St, Honesdale, PA 18431-1445 | 2019-11-30 |
| 1215596317 | Shadoe M Daniels | Physician Assistant | 601 Park St, Honesdale, PA 18431-1498 | 2019-06-12 |
| 1215486022 | Advanced Inpatient Medicine Wayne, PC | Hospitalist | 601 Park St, Honesdale, PA 18431-1445 | 2016-09-22 |
| 1578939609 | Jacqueline Marie Hillriegel | Physician Assistant | 601 Park St, Honesdale, PA 18431-1445 | 2015-08-12 |
| 1720462088 | Wmh Physicians | Internal Medicine | 601 Park St, Honesdale, PA 18431-1445 | 2015-07-16 |
| 1023417649 | Sithu Lin | Internal Medicine | 601 Park St, Honesdale, PA 18431-1445 | 2014-08-19 |
| 1205267697 | Amber Sholtes | Physician Assistant | 601 Park St, Honesdale, PA 18431-1498 | 2013-12-10 |
| 1588097455 | Michelle Szymanski | Nurse Practitioner | 601 Park St, Emergency Department, Honesdale, PA 18431-1445 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487828927 | Sarah Catherine Eibach | Social Worker | 190 Delaware Street, Honesdale, PA 18431 | 2008-04-16 |
| 1437369220 | Michael C Rogers | Dentist | 3373 Lake Ariel Highway, Honesdale, PA 18431 | 2007-05-23 |
| 1053531079 | Matthew James Downey | Internal Medicine | 1860 Fair Avenue, Suite A, Honesdale, PA 18431 | 2007-05-01 |
| 1114049335 | Philip C. Gutherz, Md | Internal Medicine | 700 Maple Avenue, 2nd Floor, Honesdale, PA 18431 | 2007-04-06 |
| 1790806818 | Krina Ennis Pratt | Physical Therapist | Ellen Memorial Health Care Center, 23 Ellen Memorial Lane, Honesdale, PA 18431 | 2007-04-03 |
| 1255465977 | Leonard Weiss | Optometrist | 928 Church St, Honesdale, PA 18431 | 2007-03-15 |
| 1023143724 | Rise Beth Bill | Social Worker | 602 Church Street, Honesdale Wellness Ctr, Honesdale, PA 18431 | 2007-02-22 |
| 1790842375 | Lawrence G Caruth Dmd Assoc | Dentist | 3025 Lake Ariel Hwy, Honesdale, PA 18431 | 2007-01-02 |
| 1225194657 | David Michael Boldish | Dentist | 1325 North Main Street, Honesdale, PA 18431 | 2006-12-29 |
| 1497813562 | George J Gustainis | Family Medicine | 3196 Lake Ariel Hwy, Honesdale, PA 18431 | 2006-12-04 |
| Find all providers in zip 18431 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.