Essentia Health 52Nd Avenue Clinic

LBN: Innovis Health Llc
Essentia Health 52Nd Avenue Clinic is an health care organization with primary practice located at 4110 51St Ave S , Fargo ND 58104-7776. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Innovis Health Llc can be contacted via phone (701) 364-3100, or through Hurley, Alan J via phone (701) 364-7667.

Contact Information

Primary practice address
4110 51St Ave S Fargo ND 58104-7776
Phone: (701) 364-3100
Fax: (701) 364-3160
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Alan J
Phone: (701) 364-7667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1780043257
LBN Legal business name Innovis Health Llc
DBA Doing business as Essentia Health 52Nd Avenue Clinic
Authorized official Hurley, Alan J
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 12th, 2016
Last updated Mar 1st, 2024 - about last year

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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