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ESSENTIA HEALTH JAMESTOWN CLINIC
NPI 1073793725
Family Medicine in Jamestown, ND

Active since November 10, 2007CLIA 35D0408726 · Accreditation
2430 20TH ST SW, JAMESTOWN, ND 58401(701) 253-5300(701) 253-5300 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2021, Dec 30, 2019 (2 updates tracked since 2019).

About Essentia Health Jamestown Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIA HEALTH JAMESTOWN CLINIC (NPI 1073793725) is a healthcare organization registered as a family medicine in Jamestown, North Dakota and active in the NPI registry since November 2007. The organization holds an CLIA Accreditation certificate valid through April 2, 2027 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1073793725
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVIS HEALTH, LLC.
Location Address2430 20TH ST SWJamestown, ND 58401-6201
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 253-5300 · Fax (701) 253-5402
Phone(701) 253-5300
Fax(701) 253-5300
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateNovember 10, 2007
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1073793725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

2430 20TH ST SW, Jamestown, ND 58401
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Other Names 1

Doing Business AsEssentia Health Jamestown Clinic

Other Identifiers 1

Medicaid447187000MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 35D0408726

Essentia Health - Jamestown Clinic · Jamestown, ND
Active · expires Apr 2, 2027
CLIA Number35D0408726
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorMelanie Gullickson
Laboratory Phone(701) 253-5335
Laboratory LocationEssentia Health - Jamestown Clinic2430 20th St SW, Jamestown, ND 58401
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDRA K. OWENS PH.D.
Psychologist
2430 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 253-5300
LISA A CLEMENS RN,CDE
Registered Nurse (Diabetes Educator)
2430 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 253-5300
DEBRA HORNER
Registered Nurse
2430 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 952-4787
DR. KILBY P OSBORN IV MD
Family Medicine
2430 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 253-5300
ANNABEL JIRAN
Family Medicine
2430 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 253-5300
FARGO VAMC
Clinic/Center (VA)
2430 20TH ST SW, SUITE 8
JAMESTOWN, ND 58401
Stutsman County (913) 578-4409
SHAINA C TOPP
Nurse Practitioner (Family)
2430 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 253-5300
MRS. AMANDA JOY HUBER PA-C
Physician Assistant
2430 20TH ST SW
JAMESTOWN, ND 58401
Stutsman County (701) 253-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovis Health, LLC.'s NPI number?

The NPI number for Innovis Health, LLC. is 1073793725. It was assigned to this organization in the NPPES registry on November 10, 2007. The provider is doing business as Essentia Health Jamestown Clinic.

Where is Innovis Health, LLC. located?

Innovis Health, LLC. is located at 2430 20th St SW, Jamestown, ND 58401. The listed phone number is (701) 253-5300.

What is Innovis Health, LLC.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Innovis Health, LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 35D0408726) is associated with this NPI, valid through April 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Innovis Health, LLC. accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Innovis Health, LLC. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovis Health, LLC. was last updated on March 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.