Burke Hospital Company
Organization Active NPI Multi-Specialty Clinic/Center · Barnwell, SC
NPI 1740995802 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1740995802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- BURKE HOSPITAL COMPANY
- Practice address
- 86 Wren St
Barnwell, SC 29812-1529 - Phone
- (912) 542-0444
- Fax
- (863) 639-1102
- NPI assigned
- Jan 23, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- BURKE HOSPITAL COMPANY
Authorized official
- Name
- Michael S Hester
- Title
- Ceo
- Phone
- (912) 369-9400
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 17
Practitioners 12
-
David M Doman, M.D.
-
Jonathan Le, MD
-
John P George, MD
-
Kendall M Griffith, M.D.
-
Ashley J Boynton, NP-C
-
William Darrell Hammonds, MD, MPH
-
Brittany Bacot, APRN
-
Abraham K Lin, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230228001352 | SC | Part B Supplier - Clinic/Group Practice | 3476956012 |
Receives reassigned benefits from 2 practitioners Practice locations: Barnwell, SC |
National Provider Directory
- Tax ID family
- Burke Hospital Company
- Part of
- Burke Hospital Company
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
86 Wren St
Barnwell, SC 29812-1529
Mailing address
300 Jones Ave
Waynesboro, GA 30830-1509
Other names
- Southeastern Spine and Pain
Other providers in Barnwell, SC
- Mary Louise Brown
- Steven Micheal Brown Jr.
- Bryan and Sang Medical Associates, Inc
- Amanda Beck Bucao
- Lenora Buckmon
- Bryan A. Burnett
- Kristin Campbell
- Lee Carpenter
- Christopher Shane Carroll
- Marsha Wren Carroll
All providers in Barnwell, SC · Multi-Specialty Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.