Provider Demographics
NPI:1245078971
Name:WAYNE MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:WAYNE MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DUNSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-253-8133
Mailing Address - Street 1:601 PARK ST
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1445
Mailing Address - Country:US
Mailing Address - Phone:570-253-8100
Mailing Address - Fax:570-253-8425
Practice Address - Street 1:5879 SR 92
Practice Address - Street 2:SUITE 2
Practice Address - City:KINGSLEY
Practice Address - State:PA
Practice Address - Zip Code:18826
Practice Address - Country:US
Practice Address - Phone:570-253-8601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty