Hazelden Plymouth

LBN: Hazelden Betty Ford Foundation
Hazelden Plymouth is an health care organization with primary practice located at 11505 36Th Ave N , Plymouth MN 55441-2304. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Hazelden Betty Ford Foundation can be contacted via phone (800) 257-7800, or through Stueber, Arnold via phone (651) 213-4729.

Contact Information

Primary practice address
11505 36Th Ave N Plymouth MN 55441-2304
Phone: (800) 257-7800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stueber, Arnold
Phone: (651) 213-4729

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1831216225
LBN Legal business name Hazelden Betty Ford Foundation
DBA Doing business as Hazelden Plymouth
Authorized official Stueber, Arnold
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Mar 25th, 2024 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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