# INNOVIS HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ESSENTIA HEALTH
- **Other names:** Essentia Health-North Fargo Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568918902
- **Legal business name:** ESSENTIA HEALTH
- **Authorized official:** ALAN J HURLEY (COO)
- **Authorized official phone:** (701) 364-7667

## Contact information

- **Practice address:** 1100 19TH AVE N, SUITE L & M, FARGO, ND 58102-5906
- **Practice address phone:** (701) 356-1150
- **Mailing address:** PO BOX 1450 NW7813, MINNEAPOLIS, MN 55485-7813
- **Mailing address phone:** (701) 356-1150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 03/01/2024