ESSENTIA HEALTH MOORHEAD CLINIC
NPI 1659617504
Family Medicine in Moorhead, MN

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

The NPI number for Innovis Health LLC is 1659617504. It was assigned to this organization in the NPPES registry on December 21, 2012. The provider is doing business as Essentia Health Moorhead 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 24D0406439 · Waiver

801 BELSLY BLVD, MOORHEAD, MN 56560(701) 364-6800(701) 364-6828 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 (2 updates tracked since 2019).

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About Essentia Health Moorhead Clinic NPPES

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

ESSENTIA HEALTH MOORHEAD CLINIC (NPI 1659617504) is a healthcare organization registered as a family medicine in Moorhead, Minnesota and active in the NPI registry since December 2012. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1659617504

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINNOVIS HEALTH LLC

Location Address801 BELSLY BLVDMoorhead, MN 56560-5055

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

Phone(701) 364-6800

Fax(701) 364-6828

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 1659617504 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.

801 BELSLY BLVD, Moorhead, MN 56560

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Other Names 1

Doing Business AsEssentia Health Moorhead Clinic

Other Identifiers 1

Medicaid14510ND

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 24D0406439

Essentia Health - Moorhead · Moorhead, MN

Active · expires Oct 3, 2027

CLIA Number24D0406439

Laboratory TypeCommunity Clinic

Certificate Effective DateOctober 4, 2025

Certificate Expiration DateOctober 3, 2027

Laboratory DirectorKaitlyn E. Wilson

Laboratory Phone(701) 364-6820

Laboratory LocationEssentia Health - Moorhead801 Belsley Blvd, Moorhead, MN 56560

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

EMILY C FRIGAARD DPT

Physical Therapist