Organization · Type 2 NPI

Innovis Health LLC

Family Medicine Physician · Fargo, ND

NPI number 1255677084 Active

Practice location

1702 University Dr S
Fargo, ND 58103-4940

Call (701) 364-3300 Map

Fax (701) 364-8906

Mailing address

PO Box 1450 NW7813
Minneapolis, MN 55485-7813

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Dental Clinic/Center	261QD0000X	None listed
Durable Medical Equipment & Medical Supplies	332B00000X	None listed

Family Medicine Physician: 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.

176 other providers at this address

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NPI record

NPI: 1255677084
Entity type: Organization (Type 2)
Issued: Dec 26, 2012
Last updated: Mar 1, 2024
Status: Active
Subpart: Yes of Essentia Health

Other names

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Essentia Health South University Clinic · doing business as
Essentia Health South University Clinic · doing business as

Authorized official

Alan J Hurley
COO
(701) 364-7667

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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.

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About NPI 1255677084

Innovis Health LLC's National Provider Identifier is 1255677084, issued on Dec 26, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fargo, ND. The record was last updated on Mar 1, 2024.