HAZELDEN BETTY FORD FOUNDATION (NPI# 1376922856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376922856 |
| Entity Type | Organization |
| Organization Name | HAZELDEN BETTY FORD FOUNDATION |
| Practice Address |
15251 Pleasant Valley Rd Center City MN 55012-9640 |
| Practice Telephone | 8665456439 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MARY JO FLEMING (MANAGER OF PATIENT REVENUE CYCLE) |
| Authorized Official Telephone | 6512134286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1043679350 | Hazelden Betty Ford Foundation | Substance Abuse Rehabilitation Facility | 680 Stewart Ave, Saint Paul, MN 55102-4117 | 2016-02-15 |
| 1700270964 | Hazelden Betty Ford Foundation | Community/Behavioral Health | 867 N Dearborn St, Chicago, IL 60610-3310 | 2015-03-26 |
| 1508261025 | Hazelden Betty Ford Foundation | Substance Abuse Rehabilitation Facility | 10700 Santa Monica Blvd, Suite 310, Los Angeles, CA 90025-4768 | 2014-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Massachusetts Corporations | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Rd., Center City, MN 55012 |
| New York State Corporations | HAZELDEN BETTY FORD FOUNDATION | 28 Liberty St., New York, New York 10005 |
| Colorado Business Entities | Hazelden Betty Ford Foundation | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Oregon Corporations, Companies and Business Names | HAZELDEN BETTY FORD FOUNDATION | 15251 Pleasant Valley Road, Center City, MN 55012 |
| Street Address |
15251 PLEASANT VALLEY RD |
| City | CENTER CITY |
| State | MN |
| Zip Code | 55012-9640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134195506 | Kathryn M Manning | Psychiatry & Neurology | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2006-02-27 |
| 1730792664 | Amy Vetter | Nurse Practitioner | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-08-29 |
| 1740899756 | Stacie Bistodeau | Nurse Practitioner | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-07-26 |
| 1801422928 | Dustin Brockberg | Psychologist | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-03-20 |
| 1538791694 | Darcey R Copeland | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-02-06 |
| 1639701782 | Alisha Dybedahl | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-02-06 |
| 1225669963 | Janesa Marie Hupke | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-31 |
| 1588295349 | Chantelle Nicole Bordelon | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-30 |
| 1447881214 | Randa N Tchelebi | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2020-01-30 |
| 1437623477 | Angela Rempelewert | Counselor | 15251 Pleasant Valley Rd, Center City, MN 55012-9640 | 2019-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902026131 | Gordon R Dodge | Psychologist | 204 Summit Ave, Center City, MN 55012 | 2007-04-30 |
| 1871668384 | Jessica Amy Pierzina | Psychologist | W20298 State Rd. 121, Whitehall, WI 55012 | 2006-11-21 |
| 1972782290 | Gordy's Pharmacy Inc. | Pharmacy | 320 Summit Ave, Center City, MN 55012 | 2007-11-02 |
| 1568529261 | Hazelden Foundation | Substance Abuse Rehabilitation Facility | 15423 Pleasant Valley Rd., Center City, MN 55012-0011 | 2007-01-02 |
| 1013949965 | William F Garrison | Pharmacist | 320 Summit Ave, Center City, MN 55012-0127 | 2006-07-07 |
| 1962506329 | Jeffrey Earl Rivard | Dentist | 420 Grand Ave., Center City, MN 55012-0235 | 2006-09-07 |
| 1487002960 | Tyler Jensen | Dentist | 420 Grand Ave, Center City, MN 55012-3553 | 2016-05-25 |
| 1871954651 | Center Lake Dental, Pa | Clinic/Center | 420 Grand Ave, Center City, MN 55012-3553 | 2016-03-08 |
| 1659408904 | Chisago County Human Services | Public Health or Welfare | 313 N Main St, Rm 239, Center City, MN 55012-7698 | 2007-02-27 |
| 1679767016 | Kent David Smallwood | Psychologist | 15251 Pleasant Valley Rd # Co7, Center City, MN 55012-9640 | 2007-08-29 |
| Find all providers in zip 55012 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse 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. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568529261 | Hazelden Foundation | Substance Abuse Rehabilitation Facility | 15423 Pleasant Valley Rd., Center City, MN 55012-0011 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1730791393 | Crecer Services | Substance Abuse Rehabilitation Facility | 220 Robert St S Ste 103, Saint Paul, MN 55107-1626 | 2020-08-17 |
| 1801405584 | Bridge Recovery LLC | Substance Abuse Rehabilitation Facility | 1485 10th Avenue Ne, Sauk Rapids, MN 56379-9838 | 2020-07-28 |
| 1710505821 | Rrecovery Services | Substance Abuse Rehabilitation Facility | 867 Pierce Butler Rte, Saint Paul, MN 55104-1522 | 2020-07-06 |
| 1912520966 | Avenues, LLC | Substance Abuse Rehabilitation Facility | 1990 Suburban Ave Ste 2000, Saint Paul, MN 55119-7001 | 2020-05-26 |
| 1962022939 | Valley View Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 31591 64th Ave, Cannon Falls, MN 55009-4296 | 2020-04-20 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1386277622 | Community of Recovering People | Substance Abuse Rehabilitation Facility | 1221 Wayzata Blvd E, Wayzata, MN 55391-1942 | 2020-02-14 |
| 1992366645 | One Touch of Christ Evangelistic Ministries | Substance Abuse Rehabilitation Facility | 5701 Shingle Creek Pkwy Ste 650, Brooklyn Center, MN 55430-2492 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
| City | CENTER CITY |
| Zip Code | 55012 |
Please comment or provide details below to improve the information on HAZELDEN BETTY FORD FOUNDATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.