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BURKWOOD, INC.
NPI 1356412506
Substance Abuse Rehabilitation Facility in Hudson, WI

Active since November 10, 2006CLIA 52D2046834 · Waiver
615 OLD MILL RD, HUDSON, WI 54016(715) 386-6125(715) 386-8775 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Burkwood, Inc. NPPES

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

BURKWOOD, INC. (NPI 1356412506) is a healthcare organization registered as a substance abuse rehabilitation facility in Hudson, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Lisetta Blaisdell, Secretary, as its authorized official.

NPPES Registry Identity

NPI1356412506
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBURKWOOD, INC.
Location Address615 OLD MILL RDHudson, WI 54016-6959
Mailing Address615 Old Mill RdHudson, WI 54016-6959 · (715) 386-6125 · Fax (715) 386-8775
Phone(715) 386-6125
Fax(715) 386-8775
Organization SubpartNo
Authorized OfficialLisetta BlaisdellSecretary · (715) 386-6125
Enumeration DateNovember 10, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356412506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
615 OLD MILL RD, Hudson, WI 54016
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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 52D2046834

Burkwood Treatment Center · Hudson, WI
Active · expires Sep 11, 2026
CLIA Number52D2046834
Laboratory TypeResidenti Treatment Centr
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorJodi D. Simmons
Laboratory Phone(715) 386-6125
Laboratory LocationBurkwood Treatment Center615 Old Mill Rd, Hudson, WI 54016
CLIA data matches this NPI record on: Address Name Phone
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.

CRC WISCONSIN RD LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
615 OLD MILL RD
HUDSON, WI 54016
St. Croix County (715) 386-6125

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 Burkwood, Inc.'s NPI number?

The NPI number for Burkwood, Inc. is 1356412506. It was assigned to this organization in the NPPES registry on November 10, 2006.

Where is Burkwood, Inc. located?

Burkwood, Inc. is located at 615 Old Mill Rd, Hudson, WI 54016. The listed phone number is (715) 386-6125.

What is Burkwood, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Burkwood, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2046834) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Burkwood, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.