Organization
INNOVIS HEALTH LLC
Active
Organization
INNOVIS HEALTH LLC
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health-Osgood 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
4622 40TH AVE S, SUITE A, FARGO, ND 58104-4394
(701) 364-2909
Mailing address
PO BOX 1450 NW7813, MINNEAPOLIS, MN 55485-7813
(701) 364-2909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
03/01/2024
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