BIRCH TREE RECOVERY
NPI 1134803075
Clinic/Center - Rehabilitation, Substance Use Disorder in Saint Louis, MO

NPI Status: Active since June 12, 2023

Contact Information

10324 LADUE RD
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 949-2080

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 26D2285229
  • CLIA Cert. Type: Other - OUTPATIENT D&A FACILITY
  • CLIA Exp. Date: 07-09-2025

About BIRCH TREE RECOVERY

This page provides the complete NPI Profile along with additional information for Birch Tree Recovery, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1134803075 assigned on June 2023. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Birch Tree Recovery. The authorized official of this NPI record is Dion Buffalow (Executive Director)

NPI
1134803075
Provider Legal Name
BTRSTL LADUE LLC
Other Organization Name
BIRCH TREE RECOVERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10324 LADUE RD SAINT LOUIS, MO 63141
Location Phone
(314) 949-2080
Mailing Address
10324 LADUE RD SAINT LOUIS, MO 63141
Mailing Phone
(314) 949-2080
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2023
Last Update Date
08-10-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DION BUFFALOW

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(505) 819-9727

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D2285229
Facility Type
Other - OUTPATIENT D&A FACILITY
Certificate Effective Date
July 10, 2023
Certificate Expiration Date
July 09, 2025
Laboratory Director
DION BUFFALOW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Birch Tree Recovery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134803075
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641606014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 6 + 0 + 6 + 0 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1134803075 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134803075, enumerated as an "organization" on June 12, 2023.

The provider is located at 10324 LADUE RD SAINT LOUIS, MO 63141 and the phone number is (314) 949-2080.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.