Organization Active NPI

Burke County Hospital Authority

Doing business as Burke Medical Center

  • Community/Retail Pharmacy
  • Waynesboro, GA
National Provider Identifier
1144838574
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BURKE COUNTY HOSPITAL AUTHORITY
Doing business as
Burke Medical Center
Practice address
351 S Liberty St
Waynesboro, GA 30830-9686
Phone
(706) 554-4435
NPI assigned
Jul 22, 2020
Last updated
Jul 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kiah N Day
Title
Credentialing Coord.
Phone
(706) 554-4435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

351 S Liberty St
Waynesboro, GA 30830-9686

Mailing address

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

Other names 1

  • Burke Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burke County Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1144838574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 S LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686",
            "telephone_number": "706-554-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686",
            "telephone_number": "706-554-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "KIAH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CREDENTIALING COORD.",
        "authorized_official_telephone_number": "706-554-4435"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.