Organization
INNOVIS HEALTH, LLC
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Fargo
Organization subpart
Yes
Provider details
NPI number
Legal business name
ESSENTIA HEALTH
Authorized official
ALAN JAMES HURLEY (COO)
(701) 364-7667
Entity
Organization
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103
(701) 364-8000
(701) 364-8078
Mailing address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
TC
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086665000
—
MN
05
—
816652000
—
MN
Enumeration date
10/11/2007
Last updated
03/01/2024
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