WHITE DEER RUN LLC (NPI# 1275756256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275756256 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN LLC |
| Other Organization Name | WHITE DEER RUN - NEW PERSPECTIVES IOP & OUTPATIENT PROGRAM |
| Practice Address |
240 S 8th St Lebanon PA 17042-6010 |
| Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
| Practice Telephone | 7172743763 |
| Mailing Telephone | 6158616000 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | CHRISTOPHER HOWARD (VP AND SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
000387017 | PA | Ambulatory Health Care Facilities |
| N | 251S00000X | Community/Behavioral Health | 000387017 | PA | Agencies |
| Y | 261Q00000X | Clinic/Center | 000387017 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007567870111 | 05 | |
| PA | 1007567870109 | 05 | |
| PA | 1007567870112 | 05 |
| Other Name | Type Code |
|---|---|
| New Perspectives at White Deer Run | Doing Business As Name - Organization |
| White Deer Run - New Perspectives IOP & Outpatient Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1790234235 | White Deer Run LLC | Clinic/Center | 100 Ryan Ct, Pittsburgh, PA 15205-1310 | 2016-09-26 |
| 1114048808 | White Deer Run LLC | Counselor | Rr 1 Box 79, New Beginnings Road, Williamsburg, PA 16693-9673 | 2007-04-02 |
| 1184744195 | White Deer Run LLC | Clinic/Center | 2500 Jane St Fl 2, Pittsburgh, PA 15203-2216 | 2007-03-31 |
| 1326031022 | White Deer Run LLC | Clinic/Center | 360 White Deer Run Road, Allenwood, PA 17810-0097 | 2005-08-26 |
| 1356891816 | White Deer Run LLC | Community/Behavioral Health | 1600 Mount Zion Rd, York, PA 17406-7068 | 2016-10-09 |
| 1053617118 | White Deer Run LLC | Clinic/Center | 520 W 4th St, Williamsport, PA 17701-6038 | 2011-02-07 |
| 1013038249 | White Deer Run LLC | Counselor | 360 White Deer Run Road, Allenwood, PA 18710-0097 | 2007-04-03 |
| 1386764397 | White Deer Run LLC | Community/Behavioral Health | 400 Washington St, 7th Floor, Reading, PA 19601-3915 | 2007-03-31 |
| 1063532075 | White Deer Run LLC | Clinic/Center | 1000 Market St, Suite E, Bloomsburg, PA 17815-2600 | 2007-03-31 |
| Street Address |
240 S 8TH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1689216137 | Ourhealth Physicians Group, LLC | Clinic/Center | 635 Genesco Pkwy, Lebanon, TN 37090-7011 | 2019-10-16 |
| 1710155031 | Harris Eye Care | Clinic/Center | 300 Countryside Dr, Lebanon, OH 45036-7865 | 2008-02-20 |
| 1255406450 | Bradshaw Medical Clinic, PC | Clinic/Center | 1409 W. Baddour Pkwy, Suite D, Lebanon, TN 37087-2599 | 2006-11-22 |
| 1649740242 | Best Care Services | Clinic/Center | 1405 W Baddour Pkwy, Lebanon, TN 37087-2567 | 2018-11-27 |
| 1215447354 | Joy of Health Naturopathic Clinic | Clinic/Center | 835 Garvord St, Lebanon, OR 97355-3804 | 2017-10-03 |
| 1457871873 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-06-27 |
| 1780121822 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-01-27 |
| 1780022855 | Anycare LLC | Clinic/Center | 702 S Cumberland St, Lebanon, TN 37087-4110 | 2013-06-11 |
| 1023375284 | Employment & Assessment Solutions, Inc. | Clinic/Center | 1037 W Main St, Suite A, Lebanon, TN 37087-3355 | 2012-04-12 |
| 1730488388 | Welsh Mountain Health Centers | Clinic/Center | 840 Norman Dr, Lebanon, PA 17042-7444 | 2011-03-22 |
| Find all providers in LEBANON | ||||
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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.