Callaway Hospital Professional Services | |
211 E Kimball St Callaway NE 68825-2597 | |
(308) 836-2228 | |
(308) 836-2733 |
Full Name | Callaway Hospital Professional Services |
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Speciality | Family Medicine |
Location | 211 E Kimball St, Callaway, Nebraska |
Authorized Official Name and Position | Brett D Eggleston (CEO) |
Authorized Official Contact | 3088362228 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Callaway Hospital Professional Services Po Box 100 Callaway NE 68825-0100 Ph: (308) 836-2228 | Callaway Hospital Professional Services 211 E Kimball St Callaway NE 68825-2597 Ph: (308) 836-2228 |
NPI Number | 1508979899 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 01/16/2019 |
Medicare PECOS PAC ID | 0143208983 |
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Medicare Enrollment ID | O20040714000240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508979899 | NPI | - | NPPES |
10025136800 | Medicaid | NE | |
DC3835 | Other | NE | MEDICARE RAILROAD |
04058 | Other | NE | BCBS OF NEBRASKA |
10025136700 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Provider Name | Ronald J Sheppard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023001724 PECOS PAC ID: 9234116674 Enrollment ID: I20040716001121 |
Provider Name | Kenneth L Loper |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1750399903 PECOS PAC ID: 7113985839 Enrollment ID: I20041228000911 |
Provider Name | Julie A Brauer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437349511 PECOS PAC ID: 6305934282 Enrollment ID: I20071109000269 |
Provider Name | Kyle S Myers |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1992142087 PECOS PAC ID: 5597987727 Enrollment ID: I20141104000474 |
Provider Name | Tiffany L Svoboda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457732224 PECOS PAC ID: 3870800253 Enrollment ID: I20170630001467 |
Provider Name | Chelsea M Williams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083025803 PECOS PAC ID: 1658590716 Enrollment ID: I20171206001672 |
Provider Name | Shirley E Osborn |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1093868531 PECOS PAC ID: 8224426598 Enrollment ID: I20211020000105 |
Callaway Medical Clinic Bcbs Pcmh Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 E Kimball St, Callaway, NE 68825 Phone: 308-836-2294 Fax: 308-836-2451 | |
Callaway Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 213 E Kimball St, Callaway, NE 68825 Phone: 308-836-2294 Fax: 308-836-2451 |