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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007567870001 | 05 |
| Other Name | Type Code |
|---|---|
| White Deer Run - Allenwood | 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 |
| 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 |
360 WHITE DEER RUN ROAD |
| City | ALLENWOOD |
| State | PA |
| Zip Code | 17810-0097 |
| 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 |
| 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 |
| Find all providers in zip 17810 | ||||
| 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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| 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 |
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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.