OrganizationActive
White Deer Run LLC
NPI 1053617118 · Clinic/Center · Williamsport, PA
White Deer Run LLC is a Clinic/Center organization in Williamsport, PA (NPI 1053617118).
Provider details
- NPI number
- 1053617118
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- White Deer Run LLC
- Organization subpart
- Yes
- Authorized official
- Brian Farley, Vp and Secretary(615) 861-6000
- License
- 417040 (PA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
520 W 4th St
Williamsport, PA 17701-6038
Phone: (570) 322-4836
Fax: (570) 322-4769
Street-level locationGet directions
Mailing address
4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Other names (DBA / former)
- Doing business as
- White Deer Run of Williamsport
- Doing business as
- White Deer Run of Williamsport
Registry dates
- Enumerated
- 2011-02-07
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Frequently asked questions
- What is White Deer Run LLC's NPI number?
- White Deer Run LLC's National Provider Identifier (NPI) is 1053617118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is White Deer Run LLC?
- White Deer Run LLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is White Deer Run LLC located?
- White Deer Run LLC's practice location on file with NPPES is 520 W 4th St, Williamsport, PA 17701-6038.
- What is White Deer Run LLC's phone number?
- The practice phone number listed in the NPPES registry for White Deer Run LLC is (570) 322-4836.
- Who is the authorized official for White Deer Run LLC?
- The authorized official listed on White Deer Run LLC's NPPES record is Brian Farley, Vp and Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is White Deer Run LLC's NPI active?
- Yes — White Deer Run LLC's NPI (1053617118) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.