INNOVIS HEALTH LLC NPI 1568918902

NPI Information

NPI: 1568918902
Provider Name: INNOVIS HEALTH LLC

Doing Business As: ESSENTIA HEALTH-NORTH FARGO CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1100 19TH AVE N
SUITE L & M
FARGO, ND
ZIP 58102
Phone: (701) 356-1150
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INNOVIS HEALTH LLC is a multi-specialty clinic center in Fargo, ND. INNOVIS HEALTH LLC NPI is 1568918902. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Essentia Health-north Fargo Clinic.

The provider's business location address is:

1100 19TH AVE N
SUITE L & M
FARGO, ND
ZIP 58102-906
Phone: (701) 356-1150

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 enumeration date for this NPI number is 8/26/2016 and was last updated on 10/1/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	152W00000X	Optometrist		No
2	207Q00000X	Family Medicine		No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 11/14/2023

NPI Synchronization or Removal

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