WHITE DEER RUN, INC (NPI# 1952421968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952421968 |
| Entity Type | Organization |
| Organization Name | WHITE DEER RUN, INC |
| Other Organization Name | COVE FORGE BHS (ERIE-OUTPATIENT) |
| Practice Address |
1921 W 8th St Erie PA 16505-4936 |
| Practice Telephone | 8144522291 |
| Mailing Telephone | 8144522291 |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2015-09-20 |
| 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 | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
00257052 | PA | Ambulatory Health Care Facilities |
| N | 251S00000X | Community/Behavioral Health | 00257052 | PA | Agencies |
| Y | 261Q00000X | Clinic/Center | 257052 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007567870089 | 05 | |
| PA | 1007567870028 | 05 | |
| PA | 1007567870072 | 05 |
| Other Name | Type Code |
|---|---|
| Cove Forge BHS (Erie-Outpatient) | 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 |
| 1912027921 | White Deer Run, Inc | Community/Behavioral Health | 624 Broad St, Johnstown, PA 15906-2524 | 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 |
1921 W 8TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| 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 |
|---|---|---|---|---|
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1588986673 | The Pennsylvania State University | Clinic/Center | 4701 College Dr, Erie, PA 16563-4117 | 2010-02-17 |
| 1982724548 | Stairways Behavioral Health | Clinic/Center | 106 E 29th St, Erie, PA 16504-1052 | 2007-03-29 |
| 1902972136 | Erie Center On Health & Aging, Inc. | Clinic/Center | 406 Peach St, Erie, PA 16507-1417 | 2006-11-28 |
| 1528052883 | Renal Care of Erie, LLC | Clinic/Center | 1641 Sassafras St, Erie, PA 16502-1858 | 2005-09-01 |
| 1588211056 | Bridge To Wellness Chiropractic LLC | Clinic/Center | 2700 W 21st St Ste 8, Erie, PA 16506-6916 | 2019-08-20 |
| 1831655224 | Tepe Chiropractic Services PC | Clinic/Center | 3122 State St, Erie, PA 16508-2820 | 2019-02-11 |
| 1730431628 | Regional Health Services, Inc | Clinic/Center | 3330 Peach St, Sterling Square, Suite 2011, Erie, PA 16508-2769 | 2012-10-03 |
| 1073773230 | Stairways Behavioral Health | Clinic/Center | 2185 W 8th St, Erie, PA 16505-4747 | 2008-06-11 |
| 1538207394 | Upmc Hamot | Clinic/Center | 201 State St, Erie, PA 16550-0002 | 2007-02-02 |
| Find all providers in ERIE | ||||
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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.