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Hazelden Betty Ford Foundation — NPI 1104194208, Chaska, MN | NPI Central

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NPI 1104194208

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Hazelden Betty Ford Foundation

NPI 1104194208 · Substance Use Disorder Rehabilitation Clinic/Center · Chaska, MN

Provider details

NPI number: 1104194208
Entity type: Organization
Primary specialty: Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Ashley Gibson, Vp Payer Relations(651) 213-4519

Specialties & taxonomies

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405X
Ambulatory Health Care Facilities
Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801X
Ambulatory Health Care Facilities

Practice location

1107 Hazeltine Blvd Ste 300

Chaska, MN 55318-1065

Phone: (800) 257-7800

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

15251 Pleasant Valley Rd

Center City, MN 55012-9640

Other names (DBA / former)

Doing business as: Hazelden Chaska

Registry dates

Enumerated: 2011-12-05
Last updated: 2025-05-16
Certified: 2025-05-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.