Organization · NPI-2

Innovis Health, LLC.

Family Medicine · Wahpeton, ND

NPI number1790965440
StatusActive
Last updated in NPPESMar 1, 2024

Details

NPI
1790965440
Entity type
Organization (NPI-2)
Legal business name
Innovis Health, LLC.
Organization subpart
Yes
Enumeration date
Nov 10, 2007
Certification date
Mar 1, 2024
Last updated
Mar 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Essentia Health Wahpeton Clinic (Doing Business As)

Practice location

275 11th St S
Wahpeton, ND 58075-4655

Phone 701-642-2000 · Fax 701-671-4153

Mailing address

275 11th St S
Wahpeton, ND 58075-4655

Phone 701-642-2000 · Fax 701-671-4153

Authorized official

Alan Hurley
Coo
7013647667

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