WHITE DEER RUN LLC


Address: 1000 Market St, Suite E, Bloomsburg, PA 17815-2600
Phone: 5707847515

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 197047 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007567870055 05

Other Provider/Organization Names

Other Name Type Code
White Deer Run - Bloomsburg Doing Business As Name - Organization
White Deer Run of Bloomsburg Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1000 MARKET ST
SUITE E
City BLOOMSBURG
State PA
Zip Code 17815-2600

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

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

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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
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Competitor

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City BLOOMSBURG
Zip Code 17815

Improve Information

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Dataset Information

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.

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