NPIMap

Organization Active NPI

Hazelden Betty Ford Foundation

  • Substance Abuse Rehabilitation Facility
  • Rancho Mirage, CA
National Provider Identifier
1891846325
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
250000049 Issued in CA
Legal business name
HAZELDEN BETTY FORD FOUNDATION
Practice address
39407 Vista del Sol
Rancho Mirage, CA 92270-3283
Phone
(800) 257-7800
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Ashley Gibson
Title
VP Payer Relations
Phone
(651) 213-4519

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X 250000049 CA Primary

Addresses

Primary practice location

39407 Vista del Sol
Rancho Mirage, CA 92270-3283

Mailing address

39407 Vista del Sol
Rancho Mirage, CA 92270-3283
Phone (800) 257-7800

Other names 1

  • Betty Ford Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1891846325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39407 VISTA DEL SOL",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703283",
            "telephone_number": "800-257-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39407 VISTA DEL SOL",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703283",
            "telephone_number": "800-257-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZELDEN BETTY FORD FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "VP PAYER RELATIONS",
        "authorized_official_telephone_number": "651-213-4519"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "250000049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Betty Ford Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.