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ESSENTIA HEALTH 52ND AVENUE CLINIC
NPI 1780043257
Clinic/Center - Multi-Specialty in Fargo, ND

Active since February 12, 2016CLIA 35D2110160 · Accreditation
4110 51ST AVE S, FARGO, ND 58104(701) 364-3100(701) 364-3160 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2021, Dec 30, 2019, Mar 20, 2017 and 4 more (7 updates tracked since 2016).

About Essentia Health 52nd Avenue Clinic NPPES

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

ESSENTIA HEALTH 52ND AVENUE CLINIC (NPI 1780043257) is a healthcare organization registered as a multi-specialty in Fargo, North Dakota and active in the NPI registry since February 2016. The organization holds an CLIA Accreditation certificate valid through June 27, 2027 and lists Alan J Hurley, Coo, as its authorized official.

NPPES Registry Identity

NPI1780043257
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameINNOVIS HEALTH LLC
Location Address4110 51ST AVE SFargo, ND 58104-7776
Mailing AddressPo Box 1450 Nw7813Minneapolis, MN 55485-7813 · (701) 364-3100 · Fax (701) 364-3160
Phone(701) 364-3100
Fax(701) 364-3160
Organization SubpartYesParent: Essentia Health
Authorized OfficialAlan J HurleyCoo · (701) 364-7667
Enumeration DateFebruary 12, 2016
Last NPPES UpdateMarch 1, 20247 updates tracked since enumeration
NPPES CertifiedMarch 1, 2024
✔ NPI 1780043257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
4110 51ST AVE S, Fargo, ND 58104
Open in Google Maps ↗

Other Names 1

Doing Business AsEssentia Health 52nd Avenue 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 Accreditation 35D2110160

Essentia Health 52nd Avenue Clinic · Fargo, ND
Active · expires Jun 27, 2027
CLIA Number35D2110160
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorAmanda Buettner
Laboratory Phone(701) 364-3110
Laboratory LocationEssentia Health 52nd Avenue Clinic4110 51st Ave S, Fargo, ND 58104
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 19

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

KATIE MARIE BRADSHAW PT
Physical Therapist
4110 51ST AVE S
FARGO, ND 58104
Cass County (701) 364-4222
PATRICK FAHEY PA-C
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Cass County (701) 364-3100
KRISTY RATTI DPT
Physical Therapist
4110 51ST AVE S
FARGO, ND 58104
Cass County (701) 364-3100
INNOVIS HEALTH, LLC
Non-Pharmacy Dispensing Site
4110 51ST AVE S
FARGO, ND 58104
Cass County (952) 653-2565
BRITTNEY L BENSON PA-C
Physician Assistant
4110 51ST AVE S
FARGO, ND 58104
Cass County (701) 364-8000
SARAH B HANSON APRN, CNP
Nurse Practitioner (Family)
4110 51ST AVE S
FARGO, ND 58104
Cass County (701) 364-3100
TIFFANY AMBER PICKARD APRN, CNP
Nurse Practitioner
4110 51ST AVE S
FARGO, ND 58104
Cass County (701) 364-3100
KIMBERLY MAE NAPLIN NP
Nurse Practitioner (Family)
4110 51ST AVE S
FARGO, ND 58104
Cass County (701) 364-3100

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 1780043257. It was assigned to this organization in the NPPES registry on February 12, 2016.

Where is Innovis Health LLC located?

Innovis Health LLC is located at 4110 51st Ave S, Fargo, ND 58104. The listed phone number is (701) 364-3100.

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.

Does Innovis Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 35D2110160) is associated with this NPI, valid through June 27, 2027. 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 with the weekly NPPES data releases published by CMS.