WHITE DEER RUN, INC (NPI# 1912027921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912027921 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN, INC |
| Other Organization Name | RENEWAL CENTER |
| Practice Address |
624 Broad St Johnstown PA 15906-2524 |
| Practice Telephone | 8145390836 |
| Mailing Telephone | 8145390836 |
| 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 | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 117043 | PA | Agencies |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
117043 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007567870040 | 05 |
| Other Name | Type Code |
|---|---|
| Renewal Center | 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 |
| 1952421968 | White Deer Run, Inc | Clinic/Center | 1921 W 8th St, Erie, PA 16505-4936 | 2007-03-31 |
| 1902926918 | White Deer Run, Inc | Community/Behavioral Health | 901 Westminster Dr, Williamsport, PA 17701-3909 | 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 |
624 BROAD ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15906-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861746844 | Nancy J Gilbert | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2012-10-30 |
| 1689727273 | Laurel Highlands Neuro-rehabilitation | Psychologist | 111a Roosevelt Boulevard, Johnstown, PA 15906 | 2007-01-19 |
| 1124107503 | Robert Joseph Bimeal Jr. | Pharmacist | 150 Fairfield Ave, Johnstown, PA 15906 | 2006-11-04 |
| 1487179255 | Jill Anne Clark | Social Worker | 401 Broad Street, Johnstown, PA 15906 | 2017-08-13 |
| 1659720399 | Melissa Melikant | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2016-06-03 |
| 1013359082 | Kelly J Leech | Physical Therapy Assistant | 401 Broad St, Johnstown, PA 15906 | 2013-07-19 |
| 1154661551 | Angela K Lambing | Registered Nurse | 401 Broad St, Johnstown, PA 15906 | 2013-02-21 |
| 1003013202 | Amanda Ann Gorzelsky | Pharmacist | 1086 Franklin Street, Johnstown, PA 15906 | 2007-06-29 |
| 1972643336 | Walter V Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906 | 2007-02-07 |
| 1538385349 | Peniel Ministries | Substance Abuse Rehabilitation Facility | 760 Cooper Ave, Johnstown, PA 15906-1033 | 2007-04-18 |
| Find all providers in zip 15906 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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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.