OrganizationActive
Good Clinic Mn PLLC
NPI 1962097683 · Non-Pharmacy Dispensing Site · Minneapolis, MN
Provider details
- NPI number
- 1962097683
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Rebecca Hafner-Fogarty, Authorized Official(612) 284-8206
Specialties & taxonomies
Suppliers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
307 1st Avenue
Minneapolis, MN 55413-0000
Phone: (952) 653-2525
Fax: (952) 653-2540
Street-level locationGet directions
Mailing address
307 1st Avenue
Minneapolis, MN 55413
Registry dates
- Enumerated
- 2021-03-04
- Last updated
- 2021-03-04
- Certified
- 2021-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.