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Organization
PRIMARYCARE HOUSECALLS PC
Active
Organization
PRIMARYCARE HOUSECALLS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY C BACHENBERG MD (PRESIDENT)
(507) 238-4844
Entity
Organization
Contact information
Practice address
5601 S 59TH ST, LINCOLN, NE 68516-2306
(507) 238-4844
Mailing address
322 S STATE ST, FAIRMONT, MN 56031-4139
(507) 238-4844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19119
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123
APPLYING FOR THESE
NE
Enumeration date
10/01/2015
Last updated
10/01/2015
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