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Organization

CALLAWAY HOSPITAL DISTRICT

Active
Parent organization
CALLAWAY HOSPITAL DISTRICT
Other names
Callaway Hospital Professional Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
CALLAWAY HOSPITAL DISTRICT
Authorized official
MR. BRETT D EGGLESTON (CEO)
(308) 836-2228
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363AM0700X
Medical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04058
BCBS OF NEBRASKA
NE
05
10025136700
NE
05
10025136800
NE
01
DC3835
MEDICARE RAILROAD
NE
Enumeration date
08/17/2006
Last updated
01/16/2019
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