ESSENTIA HEALTH WAHPETON CLINIC – NPI #1790965440
Family Medicine

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.

Health Care Provider Taxonomy Code for Family Medicine

ESSENTIA HEALTH WAHPETON CLINIC is a provider located in WAHPETON, ND. NPPES has assigned the NPI number 1790965440 to ESSENTIA HEALTH WAHPETON CLINIC on November 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ESSENTIA HEALTH WAHPETON CLINIC” is a dba name, the actual legal business name for this organization is INNOVIS HEALTH, LLC.. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Mar 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ESSENTIA HEALTH WAHPETON CLINIC below.

NPI Profile for
INNOVIS HEALTH, LLC.

NPI Number
1790965440
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVIS HEALTH, LLC.
Doing Business As (dba): ESSENTIA HEALTH WAHPETON CLINIC
Primary location
275 11TH ST S
WAHPETON, ND 58075-4655
Phone: (701) 642-2000 Fax: (701) 671-4153
Mailing address
Same as primary location
Organization Subpart
Yes - ESSENTIA HEALTH WAHPETON CLINIC is subpart of another organization.
Authorized Official
ALAN HURLEY
COO
Phone: (701) 364-7667
Updated
Certification Date
Mar 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ESSENTIA HEALTH WAHPETON CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMN046927000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.