ESSENTIA HEALTH WEST FARGO CLINIC
NPI 1487990339
Family Medicine in West Fargo, ND

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

The NPI number for Innovis Health LLC is 1487990339. It was assigned to this organization in the NPPES registry on December 21, 2012. The provider is doing business as Essentia Health West Fargo Clinic.

Q: What is Innovis Health LLC's specialty?

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

Active since December 21, 2012CLIA 35D0930424 · Waiver

1401 13TH AVE E, WEST FARGO, ND 58078(701) 364-5751(701) 364-5750 Get Directions Write a Review

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

Record update history: Oct 1, 2021, Dec 30, 2019 (2 updates tracked since 2019).

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About Essentia Health West Fargo Clinic NPPES

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

ESSENTIA HEALTH WEST FARGO CLINIC (NPI 1487990339) is a healthcare organization registered as a family medicine in West Fargo, North Dakota and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through September 30, 2027 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1487990339

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINNOVIS HEALTH LLC

Location Address1401 13TH AVE EWest Fargo, ND 58078-3468

Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-3300 · Fax (701) 364-8906

Phone(701) 364-5751

Fax(701) 364-5750

Organization SubpartYesParent: Essentia Health

Authorized OfficialAlan J HurleyCoo · (701) 364-7667

Enumeration DateDecember 21, 2012

Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1487990339 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.

1401 13TH AVE E, West Fargo, ND 58078

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Other Names 1

Doing Business AsEssentia Health West Fargo 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 35D0930424

Essentia Health - West Fargo · West Fargo, ND

Active · expires Sep 30, 2027

CLIA Number35D0930424

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorKaitlyn E. Wilson

Laboratory Phone(701) 364-5719

Laboratory LocationEssentia Health - West Fargo1401 13th Ave E, West Fargo, ND 58078

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 20

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

TERI J BREKKE MPT

Physical Therapist