Organization
INNOVIS HEALTH LLC
Active
Organization
INNOVIS HEALTH LLC
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health-Downtown Moorhead 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
720 MAIN AVE, MOORHEAD, MN 56560-2752
(218) 359-0399
Mailing address
720 MAIN AVE, MOORHEAD, MN 56560-2752
(218) 359-0399
(218) 359-0096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2016
Last updated
03/01/2024
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