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HAZELDEN BETTY FORD FOUNDATION
NPI 1972363240
Clinic/Center - Rehabilitation, Substance Use Disorder in Hudson, WI

Active since March 21, 2024CLIA 52D2313461 · Waiver
900 CREST VIEW DR STE 120, HUDSON, WI 54016(800) 257-7800(651) 213-4793 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Mar 6, 2025 (2 updates tracked since 2025).

About Hazelden Betty Ford Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAZELDEN BETTY FORD FOUNDATION (NPI 1972363240), doing business as Hazelden Hudson, is a healthcare organization registered as a rehabilitation, substance use disorder in Hudson, Wisconsin and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Ashley Gibson, Vp Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1972363240
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameHAZELDEN BETTY FORD FOUNDATION
Location Address900 CREST VIEW DR STE 120Hudson, WI 54016-9517
Mailing Address15251 Pleasant Valley RdCenter City, MN 55012-9640 · (800) 257-7800 · Fax (651) 213-4793
Phone(800) 257-7800
Fax(651) 213-4793
Organization SubpartNo
Authorized OfficialAshley GibsonVp Payer Relations · (651) 213-4519
Enumeration DateMarch 21, 2024
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1972363240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
900 CREST VIEW DR STE 120, Hudson, WI 54016
Open in Google Maps ↗

Other Names 1

Doing Business AsHazelden Hudson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Quartz.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2313461

Hazelden Betty Ford - Hudson · Hudson, WI
Active · expires Oct 30, 2026
CLIA Number52D2313461
Laboratory TypeOutpatient Sud
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorDr. Alta Deroo
Laboratory Phone(651) 292-2434
Laboratory LocationHazelden Betty Ford - Hudson900 Crest View Dr Ste 120, Hudson, WI 54016
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL PATRICK JORDAN
Counselor (Mental Health)
900 CREST VIEW DR STE 120
HUDSON, WI 54016
St. Croix County (651) 292-2434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hazelden Betty Ford Foundation's NPI number?

The NPI number for Hazelden Betty Ford Foundation is 1972363240. It was assigned to this organization in the NPPES registry on March 21, 2024. The provider is doing business as Hazelden Hudson.

Where is Hazelden Betty Ford Foundation located?

Hazelden Betty Ford Foundation is located at 900 Crest View Dr Ste 120, Hudson, WI 54016. The listed phone number is (800) 257-7800.

What is Hazelden Betty Ford Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Hazelden Betty Ford Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2313461) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hazelden Betty Ford Foundation accept?

Health plans from HealthPartners and Quartz list Hazelden Betty Ford Foundation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hazelden Betty Ford Foundation was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.