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INNOVIS HEALTH LLC NPI 1487990339


NPI Information

NPI: 1487990339
Provider Name: INNOVIS HEALTH LLC

Doing Business As: ESSENTIA HEALTH WEST FARGO CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 35D2270510

Address:
1401 13TH AVE E
WEST FARGO, ND
ZIP 58078
Phone: (701) 364-5751
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INNOVIS HEALTH LLC is a family medicine in West Fargo, ND. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INNOVIS HEALTH LLC NPI is 1487990339. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Essentia Health West Fargo Clinic.

The provider's business location address is:

1401 13TH AVE E
WEST FARGO, ND
ZIP 58078-468
Phone: (701) 364-5751
Fax: (701) 364-5750

The provider's authorized official is Alan J Hurley .
The authorized official title is Coo and has the following contact phone number (701) 364-7667.

The CLIA number assigned to this NPI record is 35D2270510 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/21/2012 and was last updated on 3/1/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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