# CALLAWAY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CALLAWAY HOSPITAL DISTRICT
- **Other names:** Callaway Hospital Professional Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508979899
- **Legal business name:** CALLAWAY HOSPITAL DISTRICT
- **Authorized official:** MR. BRETT D EGGLESTON (CEO)
- **Authorized official phone:** (308) 836-2228

## Contact information

- **Practice address:** 211 E KIMBALL ST, CALLAWAY, NE 68825-2597
- **Practice address phone:** (308) 836-2228
- **Practice address fax:** (308) 836-2733
- **Mailing address:** PO BOX 100, CALLAWAY, NE 68825-0100
- **Mailing address phone:** (308) 836-2228
- **Mailing address fax:** (308) 836-2733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 01/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04058 | BCBS OF NEBRASKA | NE |
| 05 | — | 10025136700 | — | NE |
| 05 | — | 10025136800 | — | NE |
| 01 | — | DC3835 | MEDICARE RAILROAD | NE |
