INNOVIS HEALTH LLC (NPI# 1790235042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790235042 |
| Entity Type | Organization |
| Organization Name | INNOVIS HEALTH LLC |
| Other Organization Name | ESSENTIA HEALTH 7 DAY CLINIC-FARGO |
| Practice Address |
1517 32nd Ave S Fargo ND 58103-5905 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7012326211 |
| Mailing Telephone | 7012326211 |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | GREGORY C GLASNER (PRESIDENT) |
| Authorized Official Telephone | 7013648000 |
| 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-Fargo | 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 |
| 1164972410 | Innovis Health LLC | Family Medicine | 720 Main Ave, Moorhead, MN 56560-2752 | 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 |
1517 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982707543 | David Jerome Hartson | Psychologist | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2006-09-07 |
| 1104112127 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2011-06-28 |
| 1851547160 | Hans Bjellum, Md, PC | Clinic/Center | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2008-08-18 |
| 1972769826 | Hans Bjellum Md PC | General Practice | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2008-07-30 |
| 1245444561 | Amy Jo Ratajczak | Physician Assistant | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2007-05-09 |
| 1427123397 | Rapidcare Urgent Care | Family Medicine | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2006-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| 1912512419 | Naslund Counseling Services, PC | Clinic/Center | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2020-09-10 |
| 1447896170 | Diabetes Care Clinic Pllc | Clinic/Center | 1665 43rd St S Ste 102, Fargo, ND 58103-3316 | 2019-11-18 |
| 1033751870 | Forde Counseling Services PC | Clinic/Center | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2019-10-14 |
| 1730721796 | Pfeifer Counseling Services PC | Clinic/Center | 3523 45th St S Ste 100, Fargo, ND 58104-8962 | 2019-10-11 |
| 1437707692 | New Story Counseling Services, Pllc | Clinic/Center | 1330 Page Dr S Ste 101, Fargo, ND 58103-3551 | 2019-08-30 |
| 1285196303 | Becoming Balanced PC | Clinic/Center | 3125 41st St S, Fargo, ND 58104-8666 | 2019-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181091 | Destiny Med Spa Pllc | Clinic/Center | 1415 W Dakota Pkwy Ste 3b, Williston, ND 58801-3885 | 2019-02-27 |
| 1972952034 | H.i.p.p Kids Therapy Plc | Clinic/Center | 2497 Mustang Dr S, Mandan, ND 58554-5910 | 2016-06-09 |
| 1588929004 | Northern Plains Family Medicine and Behavioral Health,p.c. | Clinic/Center | 6400 158th St Se, Menoken, ND 58558-9790 | 2012-07-10 |
| 1689852683 | Three Affiliated Tribes Parshall Health Care Center | Clinic/Center | 107 3rd St Se, Parshall, ND 58770 | 2008-02-01 |
| 1851579858 | Three Affiliated Tribes Mandaree Health Care Center | Clinic/Center | 445 #2 School Street, Mandaree, ND 58757-0000 | 2008-02-01 |
| 1558548909 | Three Affiliated Tribes White Shield Health Care Center | Clinic/Center | 2 Main Street B, Roseglen, ND 58775-0000 | 2008-01-29 |
| 1588841738 | Three Affiliated Tribes Twin Buttes Health Care Center | Clinic/Center | 726 80th Ave Nw, Halliday, ND 58636-4001 | 2008-01-29 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1306850706 | P R Health Corporation | Clinic/Center | 115 Vivian St., Park River, ND 58270-4540 | 2006-07-28 |
| 1649226671 | Trinity Kenmare Hospital | Clinic/Center | 307 1st Ave Nw, Kenmare, ND 58746-7104 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INNOVIS HEALTH LLC.
| 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.