National Provider Identifier Database

HAZELDEN BETTY FORD FOUNDATION
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

HAZELDEN BETTY FORD FOUNDATION
11505 36TH AVE N
PLYMOUTH, MN55441-2304
Phone: 800-257-7800
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Mental Health (Including Community Mental Health Center) 261QM0801X
Psychiatric Residential Treatment Facility 323P00000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for HAZELDEN BETTY FORD FOUNDATION

NPI Number 1831216225
Legal business name
LBN
HAZELDEN BETTY FORD FOUNDATION
Authorized official ASHLEY GIBSON - (VP PAYER RELATIONS)
Entity Organization
Organization subpart No
Enumeration date 03/23/2007
Last updated 05/16/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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