Active NPI
Birch Tree Communities, Inc
- Community/Behavioral Health Agency
- Clarksville, AR
National Provider Identifier
1962652941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BIRCH TREE COMMUNITIES, INC
- Practice address
- 522 Mill Rd
Clarksville, AR 72830-8511 - Phone
- (479) 705-1301
- NPI assigned
- Sep 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Priscilla Trudell
- Title
- Health Information Director
- Phone
- (501) 303-3115
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | AR | Primary |
Addresses
Primary practice location
522 Mill Rd
Clarksville, AR 72830-8511
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137553726 | Medicaid | AR |
Other names 1
- Clarksville Branch 1
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040615001261 | AR | Part B Supplier - Clinic/Group Practice | 5597749747 |
Receives reassigned benefits from 24 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Russellville, AR; Oxford, AR; Newport, AR; Mt View, AR; Malvern, AR; Conway, AR; Clarksville, AR; Benton, AR… |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community/Behavioral Health Agency
- Oxford, AR
- NPI 1750531745
O20040615001261
-
- Community/Behavioral Health Agency
- Conway, AR
- NPI 1770733768
O20040615001261
-
- Community/Behavioral Health Agency
- Newport, AR
- NPI 1255581237
O20040615001261
-
- Community/Behavioral Health Agency
- Benton, AR
- NPI 1285884239
O20040615001261
-
- Community/Behavioral Health Agency
- Mountain View, AR
- NPI 1295985216
O20040615001261
-
- Community/Behavioral Health Agency
- Malvern, AR
- NPI 1316197304
O20040615001261
-
- Community/Behavioral Health Agency
- Clinton, AR
- NPI 1629228606
O20040615001261
-
- Community/Behavioral Health Agency
- Clarksville, AR
- NPI 1770873499
O20040615001261
-
- Community/Behavioral Health Agency
- Russellville, AR
- NPI 1831349851
O20040615001261
-
- Community/Behavioral Health Agency
- Benton, AR
- NPI 1912157967
O20040615001261
-
- Community/Behavioral Health Agency
- Benton, AR
- NPI 1538102223
O20040615001261
National Provider Directory
National Provider Directory- Tax ID family
- Birch Tree Communities Inc
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Oxford, AR
- NPI 1750531745
-
- Community/Behavioral Health Agency
- Conway, AR
- NPI 1770733768
-
- Community/Behavioral Health Agency
- Greenbrier, AR
- NPI 1124896600
-
- Community/Behavioral Health Agency
- Newport, AR
- NPI 1255581237
-
- Community/Behavioral Health Agency
- Benton, AR
- NPI 1285884239
-
- Community/Behavioral Health Agency
- Mountain View, AR
- NPI 1295985216
-
- Community/Behavioral Health Agency
- Benton, AR
- NPI 1306780952
-
- Community/Behavioral Health Agency
- Malvern, AR
- NPI 1316197304
-
- Community/Behavioral Health Agency
- Clinton, AR
- NPI 1629228606
-
- Community/Behavioral Health Agency
- Clarksville, AR
- NPI 1770873499
-
- Community/Behavioral Health Agency
- Russellville, AR
- NPI 1831349851
-
- Community/Behavioral Health Agency
- Greenbrier, AR
- NPI 1841068327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1962652941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1589",
"city": "BENTON",
"state": "AR",
"postal_code": "720181589",
"telephone_number": "501-315-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 MILL RD",
"city": "CLARKSVILLE",
"state": "AR",
"postal_code": "728308511",
"telephone_number": "479-705-1301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRCH TREE COMMUNITIES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-25",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "TRUDELL",
"authorized_official_first_name": "PRISCILLA",
"authorized_official_title_or_position": "HEALTH INFORMATION DIRECTOR",
"authorized_official_telephone_number": "501-303-3115"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137553726",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarksville Branch 1",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarksville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.