INNOVIS HEALTH LLC. NPI 1790965440

NPI Information

  • NPI: 1790965440
  • Provider Name: INNOVIS HEALTH, LLC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: ESSENTIA HEALTH WAHPETON CLINIC
  • Address: 275 11TH ST S
    WAHPETON, ND
    ZIP 58075
  • Phone: (701) 642-2000

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NPI Details

INNOVIS HEALTH, LLC. is a family medicine in Wahpeton, 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 1790965440. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Essentia Health Wahpeton Clinic.

The provider's business location address is:

275 11TH ST S
WAHPETON, ND
ZIP 58075-655
Phone: (701) 642-2000
Fax: (701) 671-4153

The provider's authorized official is Alan 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 11/10/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1046927000MEDICAIDMINNESOTA

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: 3/30/2025

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