WHITE DEER RUN, INC (NPI# 1902926918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902926918 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN, INC |
| Other Organization Name | WHITE DEER RUN OF WILLIAMSPORT |
| Practice Address |
901 Westminster Dr Williamsport PA 17701-3909 |
| Practice Telephone | 5703216127 |
| Mailing Telephone | 5703216127 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | MR. TOM CALLAHAN (REGIONAL VICE PRESIDENT) |
| Authorized Official Telephone | 8008732131 |
| Is Organization Subpart | Y |
| Parent Organization Name | WHITE DEER RUN, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 417030 | PA | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
417030 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007567870050 | 05 |
| Other Name | Type Code |
|---|---|
| White Deer Run of Williamsport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386890713 | White Deer Run, Inc | Community/Behavioral Health | Open Building Number 13, Torrance State Hospital, Torrance, PA 15779 | 2008-08-18 |
| 1659570299 | White Deer Run, Inc | Counselor | 106 Davies Dr, York, PA 17402-8605 | 2007-07-13 |
| 1649391319 | White Deer Run, Inc | Counselor | 8284 Leaser Road, Kempton, PA 19529 | 2007-04-02 |
| 1912027921 | White Deer Run, Inc | Community/Behavioral Health | 624 Broad St, Johnstown, PA 15906-2524 | 2007-03-31 |
| 1952421968 | White Deer Run, Inc | Clinic/Center | 1921 W 8th St, Erie, PA 16505-4936 | 2007-03-31 |
| 1942320957 | White Deer Run, Inc | Counselor | 53 N West End Ave # 55, Lancaster, PA 17603-3226 | 2007-03-31 |
| 1427178417 | White Deer Run, Inc | Clinic/Center | 1216 Pleasant Valley Blvd, Suite E, Altoona, PA 16602-4750 | 2007-03-31 |
| 1528339215 | White Deer Run, Inc | Community/Behavioral Health | 110 Main St, Watsontown, PA 17777-1740 | 2012-01-26 |
| 1992996730 | White Deer Run, Inc | Community/Behavioral Health | 202 Cove Forge Road, Williamsburg, PA 16693-9673 | 2007-08-07 |
| 1750581609 | White Deer Run, Inc | Psychologist | 202 Cove Forge Road, Williamsburg, PA 16693-9673 | 2007-07-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WHITE DEER RUN, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Street Address |
901 WESTMINSTER DR |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on WHITE DEER RUN, INC.
| 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.