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GREATER GOOD HEALTH PC, INC.
NPI 1033095914
Clinic/Center - Primary Care in Ammon, ID

Active since August 14, 2025CLIA Certified · 2 labs
3017 EAGLE DRIVE, AMMON, ID 83406(626) 232-3929 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Greater Good Health Pc, Inc. NPPES

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

GREATER GOOD HEALTH PC, INC. (NPI 1033095914) is a healthcare organization registered as a primary care in Ammon, Idaho and active in the NPI registry since August 2025. The organization holds 2 active CLIA laboratory certificates and lists Sylvia Hastanan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1033095914
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREATER GOOD HEALTH PC, INC.
Location Address3017 EAGLE DRIVEAmmon, ID 83406
Mailing Address300 Continental Blvd Ste 560El Segundo, CA 90245-5030 · (626) 232-3929
Phone(626) 232-3929
Organization SubpartNo
Authorized OfficialSylvia HastananVice President · (310) 795-8807
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1033095914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
3017 EAGLE DRIVE, Ammon, ID 83406
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Good Health Pc, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Greater Good Health PC, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Heike Wallin, FNP
Nurse Practitioner
NPI 1841469004
3017 EAGLE DR
Ammon, ID 83406
(208) 607-3775
✔ PECOSSame address
James Brown, FNP-C
Nurse Practitioner
NPI 1023677101
3360 WASHINGTON PKWY STE 2
Idaho Falls, ID 83404
(208) 932-7024
✔ PECOS0.7 mi
Christine Christensen
Nurse Practitioner
NPI 1558060202
124 N 1075 W
Blackfoot, ID 83221
(307) 248-1580
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 13D2331713

Greater Good Health PC, Inc · Ammon, ID
Active · expires Oct 6, 2027
CLIA Number13D2331713
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorRajesh L. Gade
Laboratory Phone(626) 232-3929
Laboratory LocationGreater Good Health PC, Inc3017 Eagle Dr, Ammon, ID 83406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2346149

Greater Good Health PC Inc · Victorville, CA
Active · expires Jun 23, 2028
CLIA Number05D2346149
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 24, 2026
Certificate Expiration DateJune 23, 2028
Laboratory DirectorRajesh Gade
Laboratory Phone(626) 232-3929
Laboratory LocationGreater Good Health PC Inc12353 Mariposa Road, C2, Victorville, CA 92395
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Greater Good Health PC, Inc.'s NPI number?

The NPI number for Greater Good Health PC, Inc. is 1033095914. It was assigned to this organization in the NPPES registry on August 14, 2025.

Where is Greater Good Health PC, Inc. located?

Greater Good Health PC, Inc. is located at 3017 Eagle Drive, Ammon, ID 83406. The listed phone number is (626) 232-3929.

What is Greater Good Health PC, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Greater Good Health PC, Inc. enrolled in Medicare?

Yes. Greater Good Health PC, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Good Health PC, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Greater Good Health PC, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Greater Good Health PC, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Greater Good Health PC, Inc. was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.