| NPI | 1134771256 |
|---|---|
| Doing Business As | CALLAWAY MEDICAL CLINIC BCBS PCMH |
| Entity Type | Organization |
| Authorized Contact | BRETT D EGGLESTON CEO 308-836-2228 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |