Essentia Health Jamestown Clinic

LBN: Innovis Health, Llc.
Essentia Health Jamestown Clinic is an health care organization with primary practice located at 2430 20Th St Sw , Jamestown ND 58401-6201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Innovis Health, Llc. can be contacted via phone (701) 253-5300, or through Hurley, Alan J via phone (701) 364-7667.

Contact Information

Primary practice address
2430 20Th St Sw Jamestown ND 58401-6201
Fax: (701) 253-5300
Website:
Authorized official contact:
Name: Hurley, Alan J

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1073793725
LBN Legal business name Innovis Health, Llc.
DBA Doing business as Essentia Health Jamestown Clinic
Authorized official Hurley, Alan J
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 10th, 2007
Last updated Mar 1st, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073793725 NPPES
Minnesota MEDICAID 447187000

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