ESSENTIA HEALTH VALLEY CITY CLINIC - NPI 1962682617 - Family Medicine in Valley City, ND

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

The NPI number for Innovis Health, LLC is 1962682617. It was assigned to this organization in the NPPES registry on November 10, 2007. The provider is doing business as Essentia Health Valley City Clinic.

Q: What is Innovis Health, LLC's specialty?

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

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About Essentia Health Valley City Clinic NPPES

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

ESSENTIA HEALTH VALLEY CITY CLINIC (NPI 1962682617) is a healthcare organization registered as a family medicine in Valley City, North Dakota and active in the NPI registry since November 2007. 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

NPI1962682617

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINNOVIS HEALTH, LLC

Location Address132 4TH AVE NEValley City, ND 58072-3056

Mailing Address132 4th Ave NeValley City, ND 58072-3056 · (701) 253-5300 · Fax (701) 253-5402

Phone(701) 845-8060

Fax(701) 845-8067

Organization SubpartYesParent: Essentia Health

Authorized OfficialAlan J HurleyCoo · (701) 364-7667

Enumeration DateNovember 10, 2007

Last NPPES UpdateMarch 1, 20243 updates tracked since enumeration

NPPES CertifiedMarch 1, 2024

✔ NPI 1962682617 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.

132 4TH AVE NE, Valley City, ND 58072

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Other Names 1

Doing Business AsEssentia Health Valley City Clinic

Other Identifiers 1

Medicaid925115000MN

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 35D0925020

Essentia Health Valley City · Valley City, ND

Active · expires Sep 30, 2027

CLIA Number35D0925020

Laboratory TypePhysician Office

Certificate Effective DateOctober 1, 2025

Certificate Expiration DateSeptember 30, 2027

Laboratory DirectorMelanie M. Gullickson

Laboratory Phone(701) 845-8577

Laboratory LocationEssentia Health Valley City132 4th Ave NE, Valley City, ND 58072

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 8

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

DR. LUCAS REID BOPP DPT

Physical Therapist