WHITE DEER RUN LLC


Address: 360 White Deer Run Road, Allenwood, PA 17810-0097
Phone: 8002552335

WHITE DEER RUN LLC (NPI# 1326031022) 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) 1326031022
Entity Type Organization
Organization Name WHITE DEER RUN LLC
Other Organization Name WHITE DEER RUN - ALLENWOOD
Practice Address 360 White Deer Run Road
Allenwood
PA 17810-0097
Mailing Address 6100 Tower Cir Ste 1000
Franklin
TN 37067-1509
Practice Telephone 8002552335
Practice Fax Number 5705385303
Mailing Telephone 6158617566
Enumeration Date 2005-08-26
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
N 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
800000177 PA Ambulatory Health Care Facilities
N 324500000X Substance Abuse Rehabilitation Facility 800000177 PA Residential Treatment Facilities
N 251S00000X Community/Behavioral Health 800000177 PA Agencies
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
800000177 PA Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
800000177 PA Behavioral Health & Social Service Providers
Y 261Q00000X Clinic/Center 800000177 PA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007567870001 05

Other Provider/Organization Names

Other Name Type Code
White Deer Run - Allenwood 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
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

Office Location

Street Address 360 WHITE DEER RUN ROAD
City ALLENWOOD
State PA
Zip Code 17810-0097

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720208010 Shadi Duchesne Psychiatry & Neurology 360 White Deer Run Road, Allenwood, PA 17810 2007-04-27
1013038249 White Deer Run LLC Counselor 360 White Deer Run Road, Allenwood, PA 18710-0097 2007-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881214534 Stacy Janel White Social Worker Rt. 15, 2 Miles North of Allenwood, White Deer, PA 17810 2020-04-23
1518505098 Federal Correctional Complex Clinic/Center Route 15.2 Mi N. of Allenwood, Allenwood, PA 17810 2019-12-16
1124594320 Richard Andrew Andreuzzi Physician Assistant 2 Us-15, Allenwood, PA 17810 2018-10-16
1841664554 Charles Patrick Craig Physician Assistant Route 15 2 Miles North of Allenwood, Allenwood, PA 17810 2015-11-18
1154310159 Zell Y Moyer Nurse Anesthetist, Certified Registered 66 Enterprise Blvd, Allenwood, PA 17810 2005-10-21
1457848780 Michaeleen Powanda Physician Assistant Route 15 2 Miles North of Allenwood, Allenwood, PA 17810 2018-04-23
1184111403 Stacey Barkauskas Dentist Route 15, 2 Miles North of Allenwood, Allenwood, PA 17810 2018-04-23
1316076060 Brian Oliver Buschman Family Medicine Us 15 - 2 Miles North of Allenwood, Allenwood, PA 17810-0000 2007-03-05
1699902783 Fcc Allenwood Custodial Care Facility Route 15 Russell Road, Allenwood, PA 17810-2500 2009-06-16
1215437439 National Retina Institute Ophthalmology 66 Enterprise Blvd, Allenwood, PA 17810-9260 2018-02-14
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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).

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NPI Name Taxonomy Address Enumeration
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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 ALLENWOOD
Zip Code 17810

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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