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WHITE DEER RUN LLC
NPI 1053617118
Clinic/Center in Williamsport, PA

Active since February 07, 2011
520 W 4TH ST, WILLIAMSPORT, PA 17701(570) 322-4836(570) 322-4769 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Jun 28, 2025, Oct 19, 2020 (3 updates tracked since 2020).

About White Deer Run Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE DEER RUN LLC (NPI 1053617118), doing business as White Deer Run Of Williamsport, is a healthcare organization registered as a clinic/center in Williamsport, Pennsylvania and active in the NPI registry since February 2011. The organization lists Brian P. Farley, Vp And Secretary, as its authorized official.

NPPES Registry Identity

NPI1053617118
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWHITE DEER RUN LLC
Location Address520 W 4TH STWilliamsport, PA 17701-6038
Mailing Address4020 Aspen Grove Dr Ste 900Franklin, TN 37067-3134 · (615) 861-6000
Phone(570) 322-4836
Fax(570) 322-4769
Organization SubpartYes
Authorized OfficialBrian P. FarleyVp And Secretary · (615) 861-6000
Enumeration DateFebruary 7, 2011
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1053617118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in PA · 417040
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).
520 W 4TH ST, Williamsport, PA 17701
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Other Names 1

Doing Business AsWhite Deer Run Of Williamsport

Other Identifiers 2

Medicaid1007567870061PA
Medicaid1007567870091PA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANTHONY JOHN CIPOLLA D.D.S.
Dentist (General Practice)
520 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 326-9551
SAMUEL E SCHRACK, D.O., P.C.
Family Medicine
520 W 4TH ST, SUITE 1A
WILLIAMSPORT, PA 17701
Lycoming County (570) 327-9110
REBECCA BROCIOUS BA
Counselor (Mental Health)
520 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 327-4913
AMANDA LYNNE STANZIONE B.S.
Counselor (Mental Health)
520 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (717) 471-6180
MATTHEW RADER MSW
Counselor (Mental Health)
520 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 327-4913
MERAKEY PENNSYLVANIA
Community/Behavioral Health
520 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (215) 836-3131
DIAKON CHILD FAMILY & COMMUNITY MINISTRIES
Community/Behavioral Health
520 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (717) 795-0368
MELISSA WADDELL
Counselor (Mental Health)
520 W 4TH ST
WILLIAMSPORT, PA 17701
Lycoming County (570) 747-0120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Deer Run LLC's NPI number?

The NPI number for White Deer Run LLC is 1053617118. It was assigned to this organization in the NPPES registry on February 7, 2011. The provider is doing business as White Deer Run of Williamsport.

Where is White Deer Run LLC located?

White Deer Run LLC is located at 520 W 4th St, Williamsport, PA 17701. The listed phone number is (570) 322-4836.

What is White Deer Run LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for White Deer Run LLC was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.