# PRIMARY CARE MANAGEMENT SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PRIMARY CARE MANAGEMENT SERVICES, LLC
- **Other names:** Manna Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134641947
- **Legal business name:** PRIMARY CARE MANAGEMENT SERVICES, LLC
- **Authorized official:** TIMOTHY CHARLES BACHENBERG MD (CEO)
- **Authorized official phone:** (507) 238-4844

## Contact information

- **Practice address:** 400 S STATE ST STE 55, FAIRMONT, MN 56031-2872
- **Practice address phone:** (507) 238-4844
- **Practice address fax:** (507) 235-5542
- **Mailing address:** 400 S STATE ST STE 55, FAIRMONT, MN 56031-2872
- **Mailing address phone:** (507) 238-4844
- **Mailing address fax:** (507) 235-5542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34448 | MN | Yes |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/21/2022