1. Home
  2. Directory
  3. North Dakota
  4. Casselton
  5. Family Medicine
  6. NPI Profile

ESSENTIA HEALTH CASSELTON CLINIC
NPI 1114361177
Family Medicine in Casselton, ND

Active since April 22, 2013CLIA 35D0408185 · Waiver
5 9TH AVE N, CASSELTON, ND 58012(701) 347-4445(701) 347-5276 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Essentia Health Casselton Clinic NPPES

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

ESSENTIA HEALTH CASSELTON CLINIC (NPI 1114361177) is a healthcare organization registered as a family medicine in Casselton, North Dakota and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1114361177
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVIS HEALTH LLC
Location Address5 9TH AVE NCasselton, ND 58012-3339
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-3300 · Fax (701) 364-8906
Phone(701) 347-4445
Fax(701) 347-5276
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan HurleyCoo · (701) 364-7667
Enumeration DateApril 22, 2013
Last NPPES UpdateMarch 1, 2024
NPPES CertifiedMarch 1, 2024
✔ NPI 1114361177 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.
5 9TH AVE N, Casselton, ND 58012
Open in Google Maps ↗

Other Names 1

Doing Business AsEssentia Health Casselton Clinic

Other Identifiers 1

Medicaid14510ND

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 Waiver 35D0408185

Essentia Health Casselton Clinic · Casselton, ND
Active · expires Sep 30, 2027
CLIA Number35D0408185
Laboratory TypePhysician Office
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorMelanie M. Gullickson
Laboratory Phone(701) 364-4206
Laboratory LocationEssentia Health Casselton Clinic5 9th Ave N, Casselton, ND 58012
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DAKOTA CLINIC, LTD.
Family Medicine
5 9TH AVE N
CASSELTON, ND 58012
Cass County (701) 347-4445
CASSANDRA FAYE PLANTE APRN,CNP
Nurse Practitioner (Family)
5 9TH AVE N
CASSELTON, ND 58012
Cass County (701) 347-4445
MR. GERALD G PARKER DDS
Dentist (General Practice)
5 9TH AVE N
CASSELTON, ND 58012
Cass County (701) 347-5345
ZETOCHA CHIROPRACTIC & REHAB
Chiropractor
5 9TH AVE N
CASSELTON, ND 58012
Cass County (701) 346-0116
DR. ANDREW ZETOCHA D.C.
Chiropractor
5 9TH AVE N
CASSELTON, ND 58012
Cass County (701) 710-0639
BRUCE L DOMM MD
Family Medicine
5 9TH AVE N
CASSELTON, ND 58012
Cass County (701) 347-4445
MR. JESSE PAUL HAGEN DDS
Dentist (General Practice)
5 9TH AVE N
CASSELTON, ND 58012
Cass County (701) 347-5345

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 1114361177. It was assigned to this organization in the NPPES registry on April 22, 2013. The provider is doing business as Essentia Health Casselton Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 5 9th Ave N, Casselton, ND 58012. The listed phone number is (701) 347-4445.

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 Waiver (number 35D0408185) is associated with this NPI, valid through September 30, 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.