Provider Demographics
NPI:1477293397
Name:BURKE HOSPITAL COMPANY
Entity Type:Organization
Organization Name:BURKE HOSPITAL COMPANY
Other - Org Name:BURKE ORTHOPEDICS
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 1:300 JONES AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30830-1509
Mailing Address - Country:US
Mailing Address - Phone:706-702-5636
Mailing Address - Fax:706-262-2994
Practice Address - Street 1:300 JONES AVE
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:GA
Practice Address - Zip Code:30830-1509
Practice Address - Country:US
Practice Address - Phone:706-702-5636
Practice Address - Fax:706-262-2994
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BURKE HOSPITAL COMPANY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-30
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty