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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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