WAYNE MEMORIAL HOSPITAL (NPI# 1295750875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295750875 |
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 | 2006-07-13 |
Last Update Date | 2020-08-22 |
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 |
---|---|---|---|---|---|
X | 251E00000X | Home Health | 230501 | PA | Agencies |
X | 251G00000X | Hospice Care, Community Based | 230501 | PA | Agencies |
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 |
1023218690 | Wayne Memorial Hospital | Clinic/Center | 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 |
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 |
North Carolina Corporations | Wayne Memorial Hospital Inc. | 2700 Wayne Memorial Dr, Goldsboro, NC 27530 |
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 |
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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 |
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Taxonomy Code | 251E00000X |
Grouping | Agencies |
Classification | Home Health |
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730675703 | Herold Home Health | Home Health | 200 Sunrise Ave Trlr 134, Honesdale, PA 18431-1071 | 2018-07-02 |
1053511931 | Diakon Lutheran Social Ministries | Home Health | 416 Main St Ste D, Honesdale, PA 18431-1839 | 2007-07-19 |
1396834859 | Just Julia LLC | Home Health | 214 9th St, Honesdale, PA 18431-1911 | 2006-10-12 |
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1942800883 | Chinese Community Home Care LLC | Home Health | 1901 W Linden St Apt 513, Allentown, PA 18104-5555 | 2020-10-29 |
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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.