Innovis Health LLC
NPI 1255677084ActiveOrganization· Family Medicine· Fargo, ND
Family Medicine in Fargo, North Dakota, registered in NPPES in December 2012, part of Essentia Health. The authorized official on file is Alan J. Hurley, Coo. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1255677084 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Essentia Health |
| NPI issued | Dec 26, 2012 |
| Last updated in NPPES | Mar 1, 2024 |
| Certified by provider | Mar 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Dental | 261QD0000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (ND); Part B Supplier - Clinic/Group Practice (NE) |
|---|
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