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213 E Kimball St Callaway NE 68825-2596 | |
(308) 836-2294 | |
(308) 836-2451 |
Full Name | |
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Speciality | Clinic/Center |
Location | 213 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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Po Box 100 Callaway NE 68825-0100 Ph: (308) 836-2228 | 213 E Kimball St Callaway NE 68825-2596 Ph: (308) 836-2294 |
NPI Number | 1962519074 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 01/16/2019 |
Medicare PECOS PAC ID | 0143208983 |
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Medicare Enrollment ID | O20040709000071 |
Identifier | Type | State | Issuer |
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1962519074 | NPI | - | NPPES |
10025127100 | Medicaid | NE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |