Organization
INNOVIS HEALTH, LLC
Active
Parent organization
ESSENTIA HEALTH
Other names
Essentia Health Mid Dakota Bismarck Gateway 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
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 712-4500
(701) 712-4011
Mailing address
1702 UNIVERSITY DR S, ATN: MEDICAL 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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