INNOVIS HEALTH, LLC (NPI# 1962682617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962682617 |
| Entity Type | Organization |
| Organization Name | INNOVIS HEALTH, LLC |
| Other Organization Name | ESSENTIA HEALTH VALLEY CITY CLINIC |
| Practice Address |
132 4th Ave Ne Valley City ND 58072-3056 |
| Practice Telephone | 7018458060 |
| Practice Fax Number | 7018458067 |
| Mailing Telephone | 7012535300 |
| Mailing Fax Number | 7012535402 |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | ALAN J HURLEY (COO) |
| Authorized Official Telephone | 7013647667 |
| Is Organization Subpart | Y |
| Parent Organization Name | ESSENTIA HEALTH MBR |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 925115000 | 05 |
| Other Name | Type Code |
|---|---|
| Essentia Health Valley City Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144710658 | Innovis Health, LLC | Non-Pharmacy Dispensing Site | 4110 51st Ave S, Fargo, ND 58104-7776 | 2018-05-10 |
| 1548446669 | Innovis Health, LLC | Clinic/Center | 275 11th St S, Wahpeton, ND 58075-4655 | 2008-01-18 |
| 1225214133 | Innovis Health, LLC | Clinic/Center | 125 Frazee St E, Detroit Lakes, MN 56501-3501 | 2008-01-10 |
| 1215125463 | Innovis Health, LLC | General Acute Care Hospital | 3000 32nd Ave S, Fargo, ND 58103 | 2007-10-11 |
| Street Address |
132 4TH AVE NE |
| City | VALLEY CITY |
| State | ND |
| Zip Code | 58072-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932150646 | Dakota Clinic, Ltd. | Family Medicine | 132 4th Ave Ne, Valley City, ND 58072-3250 | 2006-05-15 |
| 1144641036 | Lucas Reid Bopp | Physical Therapist | 132 4th Ave Ne, Valley City, ND 58072-3056 | 2013-12-19 |
| 1891942405 | Leah Kathryn Swenson | Nurse Practitioner | 132 4th Ave Ne, Valley City, ND 58072-3056 | 2008-08-26 |
| 1447319132 | Dakota Clinic Ltd Valley City | Durable Medical Equipment & Medical Supplies | 132 4th Ave Ne, Valley City, ND 58072 | 2006-12-08 |
| 1487723995 | Dakota Clinic, Ltd. | Family Medicine | 132 4th Ave Ne, Valley City, ND 58072 | 2006-11-07 |
| 1780629311 | Tanya L Diegel | Family Medicine | 132 4th Ave Ne, Valley City, ND 58072-3056 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376063693 | Casey Skramstad | Adult Companion | 943 13th Ave Sw, Valley City, ND 58072 | 2017-06-27 |
| 1750656310 | Scott Mcneal | Specialist | 1028 West Main St, Valley City, ND 58072 | 2012-03-15 |
| 1447560164 | Lemont William Jahn | Pharmacist | 148 S Central Avenue, Valley City, ND 58072 | 2010-10-15 |
| 1104000124 | Janice Kay Gabriel Johnson | Occupational Therapist | 136 2nd Ave Ne, Valley City, ND 58072 | 2007-12-27 |
| 1194926659 | Barnes County Ambulance Inc | Emergency Medical Technician, Paramedic | 914 11th Ave Sw, Valley City, ND 58072 | 2007-05-30 |
| 1649332461 | Craig A Wagamon | Nurse Anesthetist, Certified Registered | 206 8th St Nw, Valley City, ND 58072 | 2006-12-15 |
| 1235204389 | Open Door Center | Intermediate Care Facility, Mentally Retarded | 209 2nd Street Se, Valley City, ND 58072 | 2006-11-22 |
| 1215001706 | Barbara E Owen | Speech-Language Pathologist | Sheyenne Care Center, 979 No Central Ave, Valley City, ND 58072 | 2006-11-17 |
| 1891877239 | Central Avenue Chiropractic PC | Chiropractor | 323 Central Avenue North, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| 1831271287 | Larry Edwin Sayler | Chiropractor | 323 North Central Avenue, Suite 202, Valley City, ND 58072 | 2006-10-19 |
| Find all providers in zip 58072 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144262858 | Sanford Clinic North | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-06-10 |
| 1932150646 | Dakota Clinic, Ltd. | Family Medicine | 132 4th Ave Ne, Valley City, ND 58072-3250 | 2006-05-15 |
| 1689674277 | Neil Frances Grabenstetter | Family Medicine | 6605 Center Rd, Valley City, OH 44280-9748 | 2005-07-26 |
| 1932621414 | Ashley M Horner | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2017-07-17 |
| 1114207453 | Sanford Medical Center Fargo | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2011-08-18 |
| 1487723995 | Dakota Clinic, Ltd. | Family Medicine | 132 4th Ave Ne, Valley City, ND 58072 | 2006-11-07 |
| 1669583183 | David L Hochhalter | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-08-31 |
| 1851314942 | Glenn M Thoreson | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-07-26 |
| 1013935782 | James B Buhr | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-07-18 |
| 1396762399 | Bradley A Braunagel | Family Medicine | 520 Chautauqua Blvd, Valley City, ND 58072-3145 | 2006-07-16 |
| Find all providers in VALLEY CITY | ||||
| City | VALLEY CITY |
| Zip Code | 58072 |
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.