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ESSENTIA HEALTH SOUTH UNIVERSITY CLINIC
NPI 1255677084
Family Medicine in Fargo, ND

Active since December 26, 2012
1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3300(701) 364-8906 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, Dec 30, 2019, Mar 15, 2016 and 1 more (4 updates tracked since 2015).

About Essentia Health South University Clinic NPPES

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

ESSENTIA HEALTH SOUTH UNIVERSITY CLINIC (NPI 1255677084) is a healthcare organization registered as a family medicine in Fargo, North Dakota and active in the NPI registry since December 2012. The organization lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1255677084
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVIS HEALTH LLC
Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-3300 · Fax (701) 364-8906
Phone(701) 364-3300
Fax(701) 364-8906
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateDecember 26, 2012
Last NPPES UpdateMarch 1, 20244 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1255677084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1702 UNIVERSITY DR S, Fargo, ND 58103
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Other Names 1

Doing Business AsEssentia Health South University Clinic

Other Identifiers 1

Medicaid14510ND

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 ›

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.

BANGALORE S VIJAYALAKSHMI MD
Physical Medicine & Rehabilitation
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-3300
ANNIE LARSON RN, CDE
Registered Nurse (Diabetes Educator)
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-8000
TODD L METZGER OD
Optometrist
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-3300
CHRISTIAN J SORENSEN MD
Internal Medicine
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-3300
BESS J. MARTIN PHD, LP
Clinical Neuropsychologist
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-3300
DONG KIM MD
Dermatology
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-3300
NICOLE RENAE BOUCHER SLP
Speech-Language Pathologist
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-3300
LAURA MORRIS
Pharmacist
1702 UNIVERSITY DR S
FARGO, ND 58103
Cass County (701) 364-3450

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 1255677084. It was assigned to this organization in the NPPES registry on December 26, 2012. The provider is doing business as Essentia Health South University Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 1702 University Dr S, Fargo, ND 58103. The listed phone number is (701) 364-3300.

What is Innovis Health LLC's specialty?

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

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.