WHITE DEER RUN LLC (NPI# 1063532075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063532075 |
Entity Type | Organization |
Organization Name | WHITE DEER RUN LLC |
Other Organization Name | WHITE DEER RUN - BLOOMSBURG |
Practice Address |
1000 Market St Suite E Bloomsburg PA 17815-2600 |
Mailing Address |
6100 Tower Cir Ste 1000 Franklin TN 37067-1509 |
Practice Telephone | 5707847515 |
Mailing Telephone | 6158616000 |
Enumeration Date | 2007-03-31 |
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 |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 197047 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1007567870055 | 05 |
Other Name | Type Code |
---|---|
White Deer Run - Bloomsburg | Doing Business As Name - Organization |
White Deer Run of Bloomsburg | 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 |
1275756256 | White Deer Run LLC | Clinic/Center | 240 S 8th St, Lebanon, PA 17042-6010 | 2007-04-10 |
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 |
Street Address |
1000 MARKET ST SUITE E |
City | BLOOMSBURG |
State | PA |
Zip Code | 17815-2600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357067 | Jana Lea Stackhouse | Physical Therapy Assistant | 1000 Market St, Bloomsburg, PA 17815-2600 | 2020-08-23 |
1568094167 | L M Jade Inc | Pharmacy | 1000 Market St, Bloomsburg, PA 17815-2600 | 2020-02-11 |
1164979043 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 1000 Market St, Suite 11, Bloomsburg, PA 17815-2600 | 2016-09-08 |
1710434501 | Bloomsburg Family Chiropractic, Pllc | Clinic/Center | 1000 Market St, Suite 1, Bloomsburg, PA 17815-2600 | 2016-09-08 |
1689034399 | Shawna Engle | Pharmacist | 1000 Market St, Bloomsburg, PA 17815-2600 | 2016-02-24 |
1750712253 | Elizabeth Ardo | Chiropractor | 1000 Market St, Suite 1, Bloomsburg, PA 17815-2600 | 2013-12-09 |
1932449949 | Tami Lynn Oberrender | Physical Therapist | 1000 Market St, Bloomsburg, PA 17815-2600 | 2013-02-28 |
1740526300 | Joseph David Ferro | Pharmacist | 1000 Market St, Bloomsburg, PA 17815-2600 | 2012-12-28 |
1992041776 | Marianne K Degreen | Pharmacist | 1000 Market St, Bloomsburg, PA 17815-2600 | 2012-12-23 |
1124364195 | Jennifer Lynn Seltzer | Pharmacist | 1000 Market St, Bloomsburg, PA 17815-2600 | 2012-12-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780295733 | Geisinger Clinic | Emergency Medicine | 545 Fair Street, Bloomsburg, PA 17815 | 2020-08-13 |
1124457551 | Patricia Marie Archey | Physician Assistant | 93 Avon Ave, Bloomsburg, PA 17815 | 2013-11-06 |
1154684561 | Alice Michele Weaver Maczuga | Social Worker | 816 Central Road, Bollmsburg, PA 17815 | 2012-06-20 |
1396069332 | Cmsu Behavioral Health and Developmental Services | Community/Behavioral Health | 675 Locust St, Bloomsburg, PA 17815 | 2010-03-19 |
1922235829 | Joel Stephen Hamilton | Dentist | 2 Audubon Court, Bloomsburg, PA 17815 | 2009-06-18 |
1508011685 | Cindy A Prosseda | Social Worker | 6850 Lowes Road, Bloomsburg, PA 17815 | 2008-11-17 |
1881854271 | Francis Joseph Welk | Physical Therapist | 410 Glen Ave, Suite 101 Susquehanna Physical Therapy Associates, Bloomsburg, PA 17815 | 2008-06-10 |
1679652390 | John A Scerbo | Dentist | 812 Central Road, Bloomsburg, PA 17815 | 2006-11-03 |
1104914811 | Columbia Ancillary Services Inc | Durable Medical Equipment & Medical Supplies | 1141 Ridge Road, Bloomsburg, PA 17815 | 2006-10-10 |
1922192681 | Patricia M. Taylor | Speech-Language Pathologist | 6530 Main Street, Bloomsburg, PA 17815 | 2006-10-03 |
Find all providers in zip 17815 |
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). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124637699 | Geisinger Bloomsburg Hospital | Clinic/Center | 549 Fair St, Bloomsburg, PA 17815-1419 | 2020-07-30 |
1518124783 | Genesis House Bloomsburg | Clinic/Center | 320 East Second Street, Bloomsburg, PA 17815 | 2008-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820754 | The Nava Center, Inc. | Clinic/Center | 1334 S 18th St, Philadelphia, PA 19146-4647 | 2020-11-01 |
1629680319 | Innovative Pediatric Therapy Services LLC | Clinic/Center | 713 Bridge St Ste 23, Selinsgrove, PA 17870-1250 | 2020-08-24 |
1376161828 | Cerner Health Connections, Inc | Clinic/Center | 1234 West Chester Pike, West Chester, PA 19382-5688 | 2020-07-10 |
1811514417 | Care Counseling & Children's Services LLC | Clinic/Center | 872 Pennsylvania St, Whitehall, PA 18052-7968 | 2020-06-30 |
1629694880 | Lancaster General Medical Group | Clinic/Center | 2112 Harrisburg Pike Ste 323, Lancaster, PA 17601-2644 | 2020-06-23 |
1225653496 | Aeo Pitt | Clinic/Center | 77 Hot Metal St, Pittsburgh, PA 15203-2382 | 2020-06-12 |
1174147656 | Paul Witt Do Pllc | Clinic/Center | 59 East Carey Street, Plains, PA 18705-1870 | 2020-06-01 |
1306469309 | Everest Pace Center Inc | Clinic/Center | 2602 W 9th St Ste 100, Chester, PA 19013-2089 | 2020-05-26 |
1225650930 | The Modern Country Doctor, LLC | Clinic/Center | 23 Industrial Blvd Ste D, Paoli, PA 19301-1601 | 2020-05-15 |
1013543099 | Rediclinic of Pa, LLC | Clinic/Center | 5707 Easton Rd, Pipersville, PA 18947-1823 | 2020-03-21 |
Find all providers with the same taxonomy |
City | BLOOMSBURG |
Zip Code | 17815 |
Please comment or provide details below to improve the information on WHITE DEER RUN LLC.
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.