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Organization

INNOVIS HEALTH, LLC

Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Mid Dakota Bismarck 9th St Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
ALAN HURLEY (COO)
(701) 364-7667
Entity
Organization

Contact information

Practice address
401 N 9TH ST, BISMARCK, ND 58501-4530
(701) 712-4500
Mailing address
1702 UNIVERSITY DR S, ATN: MED STAFF SERVICES-SSC, FARGO, ND 58103-4940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
08/16/2022
Last updated
03/01/2024
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