Callaway Internal Medicine Group

LBN: Callaway Internal Medicine Group
Callaway Internal Medicine Group is an health care organization with primary practice located at 2613 Fairway Dr Suite D, Fulton MO 65251-3936. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Callaway Internal Medicine Group can be contacted via phone (573) 642-4242, or through Wilson, Frederick M via phone (573) 642-4242.

Contact Information

Primary practice address
2613 Fairway Dr Suite D Fulton MO 65251-3936
Phone: (573) 642-4242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Frederick M Doctor of Medicine (MD)
Phone: (573) 642-4242

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 112907 Missouri
Other Service Providers / Specialist 174400000X 113229 Missouri

Profile Details

NPI number 1205910874
LBN Legal business name Callaway Internal Medicine Group
DBA Doing business as
Authorized official Wilson, Frederick M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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