White Deer Run Of Williamsport
LBN: White Deer Run, Inc
White Deer Run Of Williamsport is an health care organization with primary practice located at 901 Westminster Dr , Williamsport PA 17701-3909. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
White Deer Run, Inc can be contacted via phone (570) 321-6127, or through Callahan, Tom via phone (800) 873-2131.
Contact Information
Primary practice address
901 Westminster Dr
Williamsport PA 17701-3909
Phone: (570) 321-6127
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | 417030 | Pennsylvania |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 417030 | Pennsylvania |
Profile Details
| NPI number | 1902926918 |
|---|---|
| LBN Legal business name | White Deer Run, Inc |
| DBA Doing business as | White Deer Run Of Williamsport |
| Authorized official | Callahan, Tom |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 31st, 2007 |
| Last updated | Jul 30th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902926918 | NPPES |
| Pennsylvania | MEDICAID | 1007567870050 |
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