Provider Demographics
NPI:1902565120
Name:BURKE HOSPITAL COMPANY
Entity Type:Organization
Organization Name:BURKE HOSPITAL COMPANY
Other - Org Name:BURKE MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-369-9400
Mailing Address - Street 1:351 S LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-9686
Mailing Address - Country:US
Mailing Address - Phone:706-437-2695
Mailing Address - Fax:706-437-9018
Practice Address - Street 1:351 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-9686
Practice Address - Country:US
Practice Address - Phone:706-437-2695
Practice Address - Fax:706-437-9018
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BURKE HOSPITAL COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-15
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy