Essentia Health Moorhead Clinic

LBN: Innovis Health Llc
Essentia Health Moorhead Clinic is an health care organization with primary practice located at 801 Belsly Blvd , Moorhead MN 56560-5055. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Innovis Health Llc can be contacted via phone (701) 364-6800, or through Hurley, Alan J via phone (701) 364-7667.

Contact Information

Primary practice address
801 Belsly Blvd Moorhead MN 56560-5055
Phone: (701) 364-6800
Fax: (701) 364-6828
Website:
Map and Directions
Authorized official contact:
Name: Hurley, Alan J
Phone: (701) 364-7667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1659617504
LBN Legal business name Innovis Health Llc
DBA Doing business as Essentia Health Moorhead Clinic
Authorized official Hurley, Alan J
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 21st, 2012
Last updated Mar 1st, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659617504 NPPES
North Dakota MEDICAID 14510

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