ESSENTIA HEALTH-DOWNTOWN MOORHEAD CLINIC
NPI 1164972410
Clinic/Center - Multi-Specialty in Moorhead, MN

Q: What is Innovis Health LLC's NPI number?

The NPI number for Innovis Health LLC is 1164972410. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider is doing business as Essentia Health-Downtown Moorhead Clinic.

Q: 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.

Active since October 11, 2016CLIA 24D1089080 · Waiver

720 MAIN AVE, MOORHEAD, MN 56560(218) 359-0399 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Jun 8, 2020, Nov 14, 2018 and 3 more (6 updates tracked since 2016).

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About Essentia Health-downtown Moorhead Clinic NPPES

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

ESSENTIA HEALTH-DOWNTOWN MOORHEAD CLINIC (NPI 1164972410) is a healthcare organization registered as a multi-specialty in Moorhead, Minnesota and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Alan Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1164972410

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameINNOVIS HEALTH LLC

Location Address720 MAIN AVEMoorhead, MN 56560-2752

Mailing Address720 Main AveMoorhead, MN 56560-2752 · (218) 359-0399 · Fax (218) 359-0096

Phone(218) 359-0399

Organization SubpartYesParent: Essentia Health

Authorized OfficialAlan HurleyCoo · (701) 364-7667

Enumeration DateOctober 11, 2016

Last NPPES UpdateMarch 1, 20246 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1164972410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

720 MAIN AVE, Moorhead, MN 56560

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Other Names 1

Doing Business AsEssentia Health-downtown Moorhead 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 24D1089080

Essentia Health - Downtown Moorhead · Moorhead, MN

Active · expires Sep 9, 2026

CLIA Number24D1089080

Laboratory TypePhysician Office

Certificate Effective DateSeptember 10, 2024

Certificate Expiration DateSeptember 9, 2026

Laboratory DirectorKaitlyn E. Wilson

Laboratory Phone(701) 364-7342

Laboratory LocationEssentia Health - Downtown Moorhead720 Main Ave, Moorhead, MN 56560

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 5

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

JOANN M JORGENSON WHCNP

Nurse Practitioner (Women's Health)