THE GOOD CLINIC
NPI 1003423252
Clinic/Center - Primary Care in St Louis Park, MN
About The Good Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE GOOD CLINIC (NPI 1003423252) is a healthcare organization registered as a primary care in St Louis Park, Minnesota and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 19, 2027, maintains 5 additional practice locations, and lists Kevin Lee Smith, Chief Nurse Practitioner Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 5
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 24D2230068
Good Clinic Mn PLLC · Eden Prairie, MNOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Good Clinic Mn PLLC's NPI number?
The NPI number for Good Clinic Mn PLLC is 1003423252. It was assigned to this organization in the NPPES registry on September 30, 2020. The provider is doing business as The Good Clinic.
Where is Good Clinic Mn PLLC located?
Good Clinic Mn PLLC is located at 4712 Excelsior Blvd, St Louis Park, MN 55416. The listed phone number is (844) 383-8689.
What is Good Clinic Mn PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Good Clinic Mn PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D2230068) is associated with this NPI, valid through July 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Good Clinic Mn PLLC was last updated on January 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# The Good Clinic · NPI 1003423252
Primary Care organization in St Louis Park, Minnesota. Organization record, active in the CMS NPPES registry since September 30, 2020.
## Identity
- **NPI:** 1003423252 (Entity type: Organization)
- **Enumerated:** September 30, 2020
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Good Clinic Mn Pllc
- **Organization subpart:** No
- **Authorized official:** Kevin Smith, CHIEF NURSE PRACTITIONER OFFICER
## Practice location
- **Address:** 4712 EXCELSIOR BLVD, St Louis Park, MN 55416-3008
- **Phone:** (844) 383-8689
## Record status
- **NPPES last updated:** January 14, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003423252) · Data from the CMS NPPES public registry.