GOOD CLINIC MN PLLC
NPI 1962097683
Non-Pharmacy Dispensing Site in Minneapolis, MN

Q: What is Good Clinic Mn PLLC's NPI number?

The NPI number for Good Clinic Mn PLLC is 1962097683. It was assigned to this organization in the NPPES registry on March 4, 2021.

Q: What is Good Clinic Mn PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since March 04, 2021

307 1ST AVENUE, MINNEAPOLIS, MN 55413(952) 653-2525(952) 653-2540 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Good Clinic Mn Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD CLINIC MN PLLC (NPI 1962097683) is a healthcare organization registered as a non-pharmacy dispensing site in Minneapolis, Minnesota and active in the NPI registry since March 2021. The organization lists Rebecca Hafner-fogarty, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1962097683

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameGOOD CLINIC MN PLLC

Location Address307 1ST AVENUEMinneapolis, MN 55413-0000

Mailing Address307 1st AvenueMinneapolis, MN 55413 · (952) 653-2525 · Fax (952) 653-2540

Phone(952) 653-2525

Fax(952) 653-2540

Organization SubpartNo

Authorized OfficialRebecca Hafner-fogartyAuthorized Official · (612) 284-8206

Enumeration DateMarch 4, 2021

NPPES CertifiedFebruary 11, 2021

✔ NPI 1962097683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

307 1ST AVENUE, Minneapolis, MN 55413

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

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 1962097683. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Good Clinic Mn PLLC located?

Good Clinic Mn PLLC is located at 307 1st Avenue, Minneapolis, MN 55413. The listed phone number is (952) 653-2525.

What is Good Clinic Mn PLLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

What insurance does Good Clinic Mn PLLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Good Clinic Mn PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Good Clinic Mn PLLC was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.