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NPI Code Detail

MEDICARE: BIRCH TREE COMMUNITIES, INC

MEDICARE: BIRCH TREE COMMUNITIES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770873499
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIRCH TREE COMMUNITIES, INC
Provider Business Mailing Address
First Line : PO BOX 1589
Second Line :
City : BENTON
State : AR
Zip : 72018-1589
Country : US
Telephone Number : 501-315-3344
Fax Number :
Provider Business Practice Location Address
First Line : 706 N BROWN ST
Second Line :
City : CLARKSVILLE
State : AR
Zip : 72830-2732
Country : US
Telephone Number : 479-705-1301
Fax Number :
Authorized Official
Title or Position : HEALTH INFORMATION DIRECTOR
Name : PRISCILLA TRUDELL
Credential :
Telephone Number : 501-303-3115
Provider Enumeration Date : 04/14/2011
Last Update Date : 02/09/2026

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Directions to “BIRCH TREE COMMUNITIES, INC ” Practice Location

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