# PRIMARYCARE HOUSECALLS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114397254
- **Authorized official:** DR. TIMOTHY C BACHENBERG MD (PRESIDENT)
- **Authorized official phone:** (507) 238-4844

## Contact information

- **Practice address:** 5601 S 59TH ST, LINCOLN, NE 68516-2306
- **Practice address phone:** (507) 238-4844
- **Mailing address:** 322 S STATE ST, FAIRMONT, MN 56031-4139
- **Mailing address phone:** (507) 238-4844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 19119 | NE | Yes |

## Other

- **Enumeration date:** 10/01/2015
- **Last updated:** 10/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 123 | APPLYING FOR THESE | NE |