Healthcare Provider Details

I. General information

NPI: 1649187741
Provider Name (Legal Business Name): BURKE HOSPITAL COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 W PARKER ST STE F
BAXLEY GA
31513-0835
US

IV. Provider business mailing address

300 JONES AVE
WAYNESBORO GA
30830-1509
US

V. Phone/Fax

Practice location:
  • Phone: 912-298-2070
  • Fax: 912-298-2077
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL S HESTER
Title or Position: CEO
Credential:
Phone: 706-554-4435