{"npi":"1437495264","type":"NPI-2","status":"active","name":{"display":"Innovis Health LLC","other":[],"organization_name":"INNOVIS HEALTH LLC","authorised_official":"Alan Hurley"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3902 13TH AVE S STE 3704","city":"FARGO","state":"ND","postal_code":"581037512","country_code":"US","phone":"7013646600","fax":"7013646628"},{"purpose":"MAILING","street_1":"PO BOX 1450 NW7813","city":"MINNEAPOLIS","state":"MN","postal_code":"554857813","country_code":"US","phone":"7013643300","fax":"7013648906"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"14510","state":"ND","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-12-26","last_updated":"2024-03-01","_meta":{"source":"NPPES","snapshot_date":"2024-03-01","doc_url":"https://findmynpi.com/api"}}