Organization
INNOVIS HEALTH, LLC.
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Jamestown Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
ALAN J HURLEY (COO)
(701) 364-7667
Entity
Organization
Contact information
Practice address
2430 20TH ST SW, JAMESTOWN, ND 58401-6201
(701) 253-5300
(701) 253-5300
Mailing address
PO BOX 1450 NW7813, MINNEAPOLIS, MN 55485-7813
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
447187000
—
MN
Enumeration date
11/10/2007
Last updated
03/01/2024
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