GOOD CLINIC MN PLLC NPI 1003423252

Clinic/Center (Primary Care) in Minneapolis, MN

NPI 1003423252 Organization Clinic/Center Primary Care

About GOOD CLINIC MN PLLC

Good Clinic Mn Pllc is a primary care provider established in Minneapolis, Minnesota specializing in clinic/center (primary care) . The NPI number of Good Clinic Mn Pllc is 1003423252 and was 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 one year ago. The authorized official of this NPI record is Dr. Kevin Lee Smith Dnp (Chief Nurse Practitioner Officer)

A primary care provider (PCP) like Good Clinic Mn Pllc 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

NPI

1003423252

Provider NameGOOD CLINIC MN PLLC
Provider Location Address315 1ST AVE NE MINNEAPOLIS, MN 55413
Provider Mailing Address4190 VINEWOOD LN N STE 111-567 PLYMOUTH, MN 55442
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-30-2020
Last Update Date09-30-2020


Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care

Business Address

GOOD CLINIC MN PLLC
315 1ST AVE NE
MINNEAPOLIS, MN
ZIP 55413
Phone: (763) 639-5327

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Mailing Address

GOOD CLINIC MN PLLC
4190 VINEWOOD LN N STE 111-567
PLYMOUTH, MN
ZIP 55442
Phone:



Authorized Official

Authorized Official NameDR. KEVIN LEE SMITH DNP
Authorized Official TitleCHIEF NURSE PRACTITIONER OFFICER
Authorized Official Phone(763) 639-5327

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.