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Contact Information

BURKE MEDICAL CENTER HEALTH CLINIC
LBN BURKE COUNTY HOSPITAL AUTHORITY
311 W 4TH ST
WAYNESBORO, GA30830
 Phone: 706-554-2176
 Fax: 706-554-6407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BURKE MEDICAL CENTER HEALTH CLINIC

NPI # 1013933944
LBN Legal business name BURKE COUNTY HOSPITAL AUTHORITY
DBA Doing business as BURKE MEDICAL CENTER HEALTH CLINIC
Authorized official THOMAS STEINER - (CEO/CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2006
Last updated 06/18/2018 - More than a year ago
Identifiers
GA License # 7856
GA Medicaid 00665959A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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