NPIMap

Organization Active NPI

Hazelden Betty Ford Foundation

  • Substance Abuse Rehabilitation Facility
  • Saint Paul, MN
National Provider Identifier
1043679350
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
R-222037-0 Issued in MN
Legal business name
HAZELDEN BETTY FORD FOUNDATION
Practice address
680 Stewart Ave
Saint Paul, MN 55102-4117
Phone
(651) 292-2477
Fax
(651) 227-1599
NPI assigned
Feb 15, 2016
Last updated
Feb 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Jo Fleming
Title
Manager, Patient Revenue Cycle
Phone
(651) 213-4286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X R-222037-0 MN Primary

Addresses

Primary practice location

680 Stewart Ave
Saint Paul, MN 55102-4117

Mailing address

680 Stewart Ave
Saint Paul, MN 55102-4117
Phone (651) 292-2477

National Provider Directory

National Provider Directory
Tax ID family
Hazelden Betty Ford Foundation16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

680 Stewart Ave
Saint Paul, MN 55102
Phone (651) 292-2405

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1043679350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 STEWART AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024117",
            "telephone_number": "651-292-2477",
            "fax_number": "651-227-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 STEWART AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024117",
            "telephone_number": "651-292-2477",
            "fax_number": "651-227-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZELDEN BETTY FORD FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "MANAGER, PATIENT REVENUE CYCLE",
        "authorized_official_telephone_number": "651-213-4286"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "R-222037-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.