Russellville Branch

LBN: Birch Tree Communities, Inc
Russellville Branch is an health care organization with primary practice located at 210 N Shamrock Blvd , Russellville AR 72802-9658. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Birch Tree Communities, Inc can be contacted via phone (479) 968-2263, or through Garcia, Rolando via phone (501) 315-3344.

Contact Information

Primary practice address
210 N Shamrock Blvd Russellville AR 72802-9658
Fax:
Website:
Authorized official contact:
Name: Garcia, Rolando CFO

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Arkansas

Profile Details

NPI number 1831349851
LBN Legal business name Birch Tree Communities, Inc
DBA Doing business as Russellville Branch
Authorized official Garcia, Rolando CFO
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2008
Last updated Mar 12th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831349851 NPPES
Arkansas MEDICAID 171623526
Arkansas MEDICAID 116374726

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