THE GOOD CLINIC
NPI 1003423252
Clinic/Center - Primary Care in St Louis Park, MN

NPI Status: Active since September 30, 2020

Contact Information

4712 EXCELSIOR BLVD
ST LOUIS PARK, MN
ZIP 55416
Phone: (844) 383-8689

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 24D2230068
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 07-19-2027

About THE GOOD CLINIC

This page provides the complete NPI Profile along with additional information for The Good Clinic, a primary care provider established in St Louis Park, Minnesota operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1003423252 assigned on September 2020. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as The Good Clinic. The authorized official of this NPI record is Dr. Kevin Lee Smith Dnp (Chief Nurse Practitioner Officer)

NPI
1003423252
Provider Legal Name
GOOD CLINIC MN PLLC
Other Organization Name
THE GOOD CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4712 EXCELSIOR BLVD ST LOUIS PARK, MN 55416
Location Phone
(844) 383-8689
Mailing Address
1660 HIGHWAY 100 S STE 432 ST LOUIS PARK, MN 55416
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2020
Last Update Date
01-14-2022
Code Navigator

A primary care provider (PCP) like The Good Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 307 1ST AVE NE
    MINNEAPOLIS, MN 55413
    (763) 639-5327
  • 12900 Technology Dr Ste 140
    Eden Prairie, MN 55344
    (844) 383-8689
  • 246 Snelling Ave S Ste 1
    Saint Paul, MN 55105
    (651) 650-0300
  • 7881 Main St N Ste 538
    Maple Grove, MN 55369
    (651) 650-0400
  • 845 Vikings Pkwy Ste B
    Eagan, MN 55121
    (651) 650-0500

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KEVIN LEE SMITH DNP

Authorized Official Title
CHIEF NURSE PRACTITIONER OFFICER
Authorized Official Phone
(763) 639-5327

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
24D2230068
Facility Type
Practitioner Other
Certificate Effective Date
July 20, 2025
Certificate Expiration Date
July 19, 2027
Laboratory Director
KEVIN L. SMITH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to The Good Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003423252, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 4 → 8 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 8 + 2 + 6 + 2 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1003423252.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Internal Medicine
4712 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003423252, enumerated as an "organization" on September 30, 2020.

The provider is located at 4712 EXCELSIOR BLVD ST LOUIS PARK, MN 55416 and the phone number is (844) 383-8689.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.