INNOVIS HEALTH LLC NPI 1144710658

NPI Information

INNOVIS HEALTH, LLC is a non pharmacy dispensing site in Fargo, ND. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) INNOVIS HEALTH, LLC NPI is 1144710658. The provider is registered as an organization entity type.

The provider's business location address is:

4110 51ST AVE S
FARGO, ND
ZIP 58104-776
Phone: (952) 653-2565
Fax: (952) 653-2540

The provider's authorized official is Gregory C Glasner .
The authorized official title is Md and has the following contact phone number (701) 364-4554.

The CLIA number assigned to this NPI record is 35D0978097 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/10/2018 and was last updated on 5/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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