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ESSENTIA HEALTH-OSGOOD CLINIC
NPI 1144776576
Clinic/Center - Multi-Specialty in Fargo, ND

Active since August 26, 2016CLIA 35D1088791 · Waiver
4622 40TH AVE S, SUITE A, FARGO, ND 58104(701) 364-2909 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2021, Dec 30, 2019, Nov 14, 2018 and 5 more (8 updates tracked since 2016).

About Essentia Health-osgood Clinic NPPES

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

ESSENTIA HEALTH-OSGOOD CLINIC (NPI 1144776576) is a healthcare organization registered as a multi-specialty in Fargo, North Dakota and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1144776576
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH LLC
Location Address4622 40TH AVE S, SUITE AFargo, ND 58104-4394
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-2909
Phone(701) 364-2909
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateAugust 26, 2016
Last NPPES UpdateMarch 1, 20248 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1144776576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedOptometristTaxonomy 152W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
4622 40TH AVE S, Fargo, ND 58104
Open in Google Maps ↗

Other Names 1

Doing Business AsEssentia Health-osgood Clinic

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 35D1088791

Essentia Health - Osgood Clinic · Fargo, ND
Active · expires Sep 3, 2026
CLIA Number35D1088791
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorKaitlyn E. Wilson
Laboratory Phone(701) 364-7342
Laboratory LocationEssentia Health - Osgood Clinic4622 40th Ave S, Fargo, ND 58104
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 12

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

MS. NANCY M EASTMAN PA-C
Physician Assistant
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 364-2909
BRENDA RICK APRN
Nurse Practitioner (Family)
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 232-6211
RAPIDCARE URGENT CARE
Nurse Practitioner (Family)
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 232-6211
RAPIDCARE URGENT CARE
Family Medicine
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 232-6211
HANS BJELLUM, MD, PC
Clinic/Center (Urgent Care)
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 232-6211
AMY MICHELLE ALLARD FNP-C
Nurse Practitioner (Family)
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 364-2909
HANS BJELLUM, MD, PC
Non-Pharmacy Dispensing Site
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 232-6211
OSGOOD EYECARE PROFESSIONALS, LLC
Optometrist
4622 40TH AVE S
FARGO, ND 58104
Cass County (701) 364-2909

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 1144776576. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 4622 40th Ave S Suite A, Fargo, ND 58104. The listed phone number is (701) 364-2909.

What is Innovis Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Innovis Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1088791) is associated with this NPI, valid through September 3, 2026. 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.