INNOVIS HEALTH LLC NPI 1891453411

NPI Information

  • NPI: 1891453411
  • Provider Name: INNOVIS HEALTH, LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: ESSENTIA HEALTH 45TH STREET CLINIC
  • CLIA Number: 35D1001562
  • Address: 4476 31ST AVE S STE 101
    FARGO, ND
    ZIP 58104
  • Phone: (701) 234-9400

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NPI Details

INNOVIS HEALTH, LLC is a multi-specialty clinic center in Fargo, ND. INNOVIS HEALTH, LLC NPI is 1891453411. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Essentia Health 45th Street Clinic.

The provider's business location address is:

4476 31ST AVE S STE 101
FARGO, ND
ZIP 58104-532
Phone: (701) 234-9400
Fax: (701) 234-9401

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 CLIA number assigned to this NPI record is 35D1001562 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2021 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 MedicineNo
2261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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