Provider Demographics
NPI:1720975428
Name:WAYMAKERZ MINISTRIES INC
Entity type:Organization
Organization Name:WAYMAKERZ MINISTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIREY
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:423-443-3996
Mailing Address - Street 1:197 POPLAR RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-4329
Mailing Address - Country:US
Mailing Address - Phone:423-443-3996
Mailing Address - Fax:
Practice Address - Street 1:197 POPLAR RIDGE RD
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-4329
Practice Address - Country:US
Practice Address - Phone:423-443-3996
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center