GREATER GOOD HEALTH PC, INC.
NPI 1104503168
Clinic/Center - Primary Care in Missoula, MT

Active since June 30, 2023CLIA Certified · 3 labs
2230 N RESERVE ST STE 110, MISSOULA, MT 59808(310) 658-3775 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Aug 29, 2023 (2 updates tracked since 2023).

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 1104503168) is a healthcare organization registered as a primary care in Missoula, Montana and active in the NPI registry since June 2023. The organization holds 3 active CLIA laboratory certificates and lists Sylvia Hastanan, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104503168
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREATER GOOD HEALTH PC, INC.
Location Address2230 N RESERVE ST STE 110Missoula, MT 59808-1364
Mailing Address300 Continental Blvd Ste 635El Segundo, CA 90245-5040 · (310) 658-3775
Organization SubpartNo
Authorized OfficialSylvia HastananVice President · (310) 795-8807
Enumeration DateJune 30, 2023
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1104503168 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
2230 N RESERVE ST STE 110, Missoula, MT 59808

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

CLIA Laboratory Certificates CMS CLIA 3

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 27D2287466

Greater Good Health PC, Inc · Great Falls, MT
Active · expires Aug 14, 2027
CLIA Number27D2287466
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorDr. Rajesh L. Gade
Laboratory Phone(310) 658-3775
Laboratory LocationGreater Good Health PC, Inc405 3rd Street NW, Suite 102, Great Falls, MT 59404
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2287474

Greater Good Health PC, Inc · Missoula, MT
Active · expires Aug 14, 2027
CLIA Number27D2287474
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorDr. Rajesh L. Gade
Laboratory Phone(310) 658-3775
Laboratory LocationGreater Good Health PC, Inc2230 Reserve Street N, Suite 110, Missoula, MT 59808
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 27D2287477

Greater Good Health PC, Inc · Billings, MT
Active · expires Aug 14, 2027
CLIA Number27D2287477
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 15, 2025
Certificate Expiration DateAugust 14, 2027
Laboratory DirectorRajesh L. Gade
Laboratory Phone(310) 658-3775
Laboratory LocationGreater Good Health PC, Inc1423 38th Street W, Suite 3, Billings, MT 59102
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2230 N RESERVE ST STE 110
MISSOULA, MT 59808
Nurse Practitioner (Adult Health)
2230 N RESERVE ST STE 110
MISSOULA, MT 59808
Nurse Practitioner
2230 N RESERVE ST STE 110
MISSOULA, MT 59808
Nurse Practitioner (Family)
2230 N RESERVE ST STE 110
MISSOULA, MT 59808
General Practice
2230 N RESERVE ST STE 110
MISSOULA, MT 59808
Nurse Practitioner
2230 N RESERVE ST STE 110
MISSOULA, MT 59808

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 1104503168. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Greater Good Health PC, Inc. located?

Greater Good Health PC, Inc. is located at 2230 N Reserve St Ste 110, Missoula, MT 59808. The listed phone number is (310) 658-3775.

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.

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

Yes. 3 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 October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.