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Organization

PRIMARY CARE MANAGEMENT SERVICES, LLC

Active
Parent organization
PRIMARY CARE MANAGEMENT SERVICES, LLC
Other names
Manna Health
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34448
MN

Other

Enumeration date
07/13/2017
Last updated
07/21/2022
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