Healthcare Provider Details

I. General information

NPI: 1184531337
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

414 HWY 25 S
MILLEN GA
30442-5263
US

IV. Provider business mailing address

300 JONES AVE
WAYNESBORO GA
30830-1509
US

V. Phone/Fax

Practice location:
  • Phone: 478-910-2491
  • Fax: 478-910-2495
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