Custom Clinic, P.a.

  • 1699859124 NPI Number
  • |
  • Actived: 17 years ago
  • |
Custom Clinic, P.a. is a health care provider based in Fairmont, MN. The NPI Number is 1699859124 and it has been active since 17 years ago. The specialty is Family Medicine, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Family Medicine services, Custom Clinic, P.a. is an excellent option. We are here to help you get the care you need.

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Overview of Custom Clinic, P.a.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/24/2006
  • Last updated: 08/22/2020

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 322 S State St
    5 Lake Center Drive
    Fairmont, MN 56031
  • Phone: 507-236-2880
  • Fax:

Provider Practice Location

  • Address: 322 S State St
    5 Lake Center Drive
    Fairmont, MN 56031
  • Phone: 507-236-2880
  • Fax:

Authorized Official

  • Name: Timothy C Bachenberg M.D.
  • Position/Title: President
  • Telephone Number: 507-236-2880

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Custom Clinic, P.a.?
  • A: The npi number for Custom Clinic, P.a. is 1699859124.
  • Q: What are Custom Clinic, P.a.'s specialties?
  • A: Custom Clinic, P.a.'s specialties are Family Medicine and different specialities.
  • Q: Where is Custom Clinic, P.a. business practice location?
  • A: Custom Clinic, P.a. business practice location is 322 S State St, Fairmont, MN 56031.
  • Q: How to contact Custom Clinic, P.a.?
  • A: You can contact Custom Clinic, P.a. via 507-236-2880.
  • Q: What is the authorized official for Custom Clinic, P.a.?
  • A: The authorized office name is Timothy C Bachenberg M.D. with position/title is President and you can reach the authorized official via phone number 5072362880.
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