Organization · Type 2 NPI

Innovis Health

Non-Pharmacy Dispensing Site · Fargo, ND

NPI number 1083756142 Active

Practice location

1702 University Dr S
Fargo, ND 58103-4940

Call (701) 364-3300 Map

Mailing address

5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	5109 (ND)

Non-Pharmacy Dispensing Site: 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.)

176 other providers at this address

Other non-pharmacy dispensing site providers in Fargo

See all in Fargo →

NPI record

NPI: 1083756142
Entity type: Organization (Type 2)
Issued: Feb 13, 2007
Last updated: Oct 16, 2012
Status: Active
Subpart: Yes of Medvantx, Inc.

Other names

<unavail>
Innovis Health - South University · doing business as

Authorized official

Mr. Kenny Heine
Director of Operations
(858) 625-2990

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1083756142

Innovis Health's National Provider Identifier is 1083756142, issued on Feb 13, 2007. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Fargo, ND. The record was last updated on Oct 16, 2012.