ESSENTIA HEALTH-NORTH FARGO CLINIC
NPI 1568918902
Clinic/Center - Occupational Medicine in Fargo, ND

Active since August 26, 2016CLIA 35D2047109 · Waiver
1100 19TH AVE N, SUITE L & M, FARGO, ND 58102(701) 356-1150 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, Nov 14, 2018 and 5 more (8 updates tracked since 2016).

About Essentia Health-north Fargo Clinic NPPES

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

ESSENTIA HEALTH-NORTH FARGO CLINIC (NPI 1568918902) is a healthcare organization registered as an occupational medicine in Fargo, North Dakota and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1568918902
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameINNOVIS HEALTH LLC
Location Address1100 19TH AVE N, SUITE L & MFargo, ND 58102-5906
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 356-1150
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 1568918902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1100 19TH AVE N, Fargo, ND 58102

Other Names 1

Doing Business AsEssentia Health-north 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

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 35D2047109

Essentia Health - North Fargo Occup Medicine · Fargo, ND
Active · expires Sep 17, 2026
CLIA Number35D2047109
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorKaitlyn E. Wilson
Laboratory Phone(701) 364-3335
Laboratory LocationEssentia Health - North Fargo Occup Medicine1100 19th Ave N Suite L&m, Fargo, ND 58102
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Non-Pharmacy Dispensing Site
1100 19TH AVE N
FARGO, ND 58102
Dietitian, Registered (Nutrition, Metabolic)
1100 19TH AVE N, STE J, PMB 178
FARGO, ND 58102
Clinic/Center (Urgent Care)
1100 19TH AVE N, SUITE L&M
FARGO, ND 58102

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 1568918902. It was assigned to this organization in the NPPES registry on August 26, 2016. The provider is doing business as Essentia Health-North Fargo Clinic.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 1100 19th Ave N Suite L & M, Fargo, ND 58102. The listed phone number is (701) 356-1150.

What is Innovis Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Innovis Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2047109) is associated with this NPI, valid through September 17, 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 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.