INNOVIS HEALTH LLC (NPI# 1164972410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164972410 |
| Entity Type | Organization |
| Organization Name | INNOVIS HEALTH LLC |
| Other Organization Name | ESSENTIA HEALTH-DOWNTOWN MOORHEAD CLINIC |
| Practice Address |
720 Main Ave Moorhead MN 56560-2752 |
| Practice Telephone | 2183590399 |
| Mailing Telephone | 2183590399 |
| Mailing Fax Number | 2183590096 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | KYLE DUANE DOROW (CFO) |
| Authorized Official Telephone | 7013643273 |
| Is Organization Subpart | Y |
| Parent Organization Name | ESSENTIA HEALTH MBR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Essentia Health 7 Day Clinic-Moorhead | Doing Business As Name - Organization |
| Essentia Health-Downtown Moorhead Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578907267 | Innovis Health LLC | Family Medicine | 600 Water St E, Medina, ND 58467 | 2013-04-24 |
| 1790235042 | Innovis Health LLC | Family Medicine | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2016-10-11 |
| 1144776576 | Innovis Health LLC | Optometrist | 4622 40th Ave S, Suite A, Fargo, ND 58104-4394 | 2016-08-26 |
| 1164978599 | Innovis Health LLC | Family Medicine | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2016-08-26 |
| 1568918902 | Innovis Health LLC | Family Medicine | 1100 19th Ave N, Suite L & M, Fargo, ND 58102-5906 | 2016-08-26 |
| 1780043257 | Innovis Health LLC | Clinic/Center | 4110 51st Ave S, Fargo, ND 58104-7776 | 2016-02-12 |
| 1750725743 | Innovis Health LLC | Family Medicine | 501 Main Ave S, Hankinson, ND 58041-4108 | 2013-04-22 |
| 1114361177 | Innovis Health LLC | Family Medicine | 5 9th Ave N, Casselton, ND 58012-3339 | 2013-04-22 |
| 1578907655 | Innovis Health LLC | Family Medicine | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2013-04-19 |
| 1437495264 | Innovis Health LLC | Family Medicine | 3902 13th Ave S, Fargo, ND 58103-3357 | 2012-12-26 |
| Street Address |
720 MAIN AVE |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437120763 | Joann M Jorgenson | Nurse Practitioner | 720 Main Ave, Moorhead, MN 56560-2752 | 2006-01-26 |
| 1508268491 | Chelsea A Reich | Physician Assistant | 720 Main Ave, Moorhead, MN 56560 | 2014-09-23 |
| 1568758589 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 720 Main Ave, Moorhead, MN 56560-2752 | 2011-06-28 |
| 1790931467 | Hans Bjellum, Md, PC | Clinic/Center | 720 Main Ave, Moorhead, MN 56560-2752 | 2008-08-14 |
| 1558550442 | Rapidcare Urgent Care Pllc | Family Medicine | 720 Main Ave, Moorhead, MN 56560-2752 | 2007-10-17 |
| 1609080936 | June Lee | Nurse Practitioner | 720 Main Ave, Moorhead, MN 56560-2752 | 2007-05-09 |
| 1487745493 | Marilyn Ek | Nurse Practitioner | 720 Main Ave, Moorhead, MN 56560-2752 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1992224331 | Orthopedic & Sports Physical Therapy, Inc. | Clinic/Center | 322 N Tower Rd, Fergus Falls, MN 56537-1015 | 2017-09-18 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.