Healthcare Provider Details

I. General information

NPI: 1841160991
Provider Name (Legal Business Name): INTEGRIX HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 6TH ST N
MOORHEAD MN
56560-2705
US

IV. Provider business mailing address

3045 1ST ST E
WEST FARGO ND
58078-7978
US

V. Phone/Fax

Practice location:
  • Phone: 701-347-1968
  • Fax: 701-248-8866
Mailing address:
  • Phone: 701-306-9946
  • Fax: 701-248-8866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL BEKKUM
Title or Position: PRESIDENT
Credential: DC
Phone: 701-347-1968