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ESSENTIA HEALTH-DETROIT LAKES/HWY 10 CLINIC
NPI 1164978599
Clinic/Center - Multi-Specialty in Detroit Lakes, MN

Active since August 26, 2016
1361 WENNER RD, DETROIT LAKES, MN 56501(218) 846-9981 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Dec 30, 2019, Nov 28, 2018 and 5 more (8 updates tracked since 2016).

About Essentia Health-detroit Lakes/hwy 10 Clinic NPPES

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

ESSENTIA HEALTH-DETROIT LAKES/HWY 10 CLINIC (NPI 1164978599) is a healthcare organization registered as a multi-specialty in Detroit Lakes, Minnesota and active in the NPI registry since August 2016. The organization lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1164978599
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH LLC
Location Address1361 WENNER RDDetroit Lakes, MN 56501-7918
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-4222
Phone(218) 846-9981
Organization SubpartYesParent: Essentia Health Mbr
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateAugust 26, 2016
Last NPPES UpdateOctober 1, 20218 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1164978599 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
1361 WENNER RD, Detroit Lakes, MN 56501
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Other Names 1

Doing Business AsEssentia Health-detroit Lakes/hwy 10 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

Other Providers at the Same Location NPPES 6

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

HANS BJELLUM, MD, PC
Non-Pharmacy Dispensing Site
1361 WENNER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-9981
LIBERTY HEALTH PLLC
Clinic/Center (Multi-Specialty)
1361 WENNER RD
DETROIT LAKES, MN 56501
Becker County (218) 396-6500
HANS BJELLUM, MD, PC
Clinic/Center (Urgent Care)
1361 WENNER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-9981
SCOTT ALLEN LAWRENCE MD
Family Medicine
1361 WENNER RD
DETROIT LAKES, MN 56501
Becker County (218) 396-6500
RENAE L MILLER PA-C
Physician Assistant (Medical)
1361 WENNER RD
DETROIT LAKES, MN 56501
Becker County (218) 396-6500
GARY ALAN MILLER PA-C
Physician Assistant
1361 WENNER RD
DETROIT LAKES, MN 56501
Becker County (218) 846-9981

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 1164978599. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Essentia Health-Detroit Lakes/Hwy 10 Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 1361 Wenner Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 846-9981.

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.

When was this NPI record last updated?

The NPPES record for Innovis Health LLC was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.