Family Medicine
CUSTOM CLINIC, P.A.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1699859124 · enumerated 2006-10-24 · record updated 2020-08-22. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: TIMOTHY BACHENBERG M.D., President · (507) 236-2880
Other names: SMART CLINIC
Addresses and phones
- Mailing address 322 S STATE ST, 5 LAKE CENTER DRIVE, FAIRMONT, MN, 56031-4139 (507) 236-2880 Google Maps Apple Maps OpenStreetMap
- Practice location 322 S STATE ST, 5 LAKE CENTER DRIVE, FAIRMONT, MN, 56031-4139 (507) 236-2880 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary
In this directory
Locations and evidence
-
Practice location
FAIRMONT, MN, 560314139
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.