HAZELDEN BETTY FORD FOUNDATION NPI 1306149463

NPI Information

  • NPI: 1306149463
  • Provider Name: HAZELDEN BETTY FORD FOUNDATION
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • :
  • Address: 7001 E FISH LAKE RD
    WEDGEWOOD OFFICE PARK
    MAPLE GROVE, MN
    ZIP 55311
  • Phone: (800) 257-7800

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NPI Details

HAZELDEN BETTY FORD FOUNDATION is a rehabilitation and substance use disorder clinic center in Maple Grove, MN. HAZELDEN BETTY FORD FOUNDATION NPI is 1306149463. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

7001 E FISH LAKE RD
WEDGEWOOD OFFICE PARK
MAPLE GROVE, MN
ZIP 55311-841
Phone: (800) 257-7800

The provider's authorized official is Ashley Gibson .
The authorized official title is Vp Payer Relations and has the following contact phone number (651) 213-4519.

The enumeration date for this NPI number is 12/13/2010 and was last updated on 5/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder800997-5-CDTMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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