GREATER GOOD HEALTH PC, INC.
NPI 1104503168
Clinic/Center - Primary Care in Missoula, MT
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 27D2287474
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 08-14-2027
About GREATER GOOD HEALTH PC, INC.
This page provides the complete NPI Profile along with additional information for Greater Good Health Pc, Inc., a primary care provider established in Missoula, Montana operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1104503168 assigned on June 2023. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sylvia Hastanan (Vice President)
- NPI
- 1104503168 Verify this NPI
- Provider Name
- GREATER GOOD HEALTH PC, INC.
- Entity Type
- Organization
- Location Address
- 2230 N RESERVE ST STE 110 MISSOULA, MT 59808
- Location Phone
- (310) 658-3775
- Mailing Address
- 300 CONTINENTAL BLVD STE 635 EL SEGUNDO, CA 90245
- Mailing Phone
- (310) 658-3775
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2023
- Last Update Date
- 10-31-2023
- Code Navigator
A primary care provider (PCP) like Greater Good Health Pc, Inc. 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 .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 27D2287474
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 15, 2025
- Certificate Expiration Date
- August 14, 2027
- Laboratory Director
- DR. RAJESH L. GADE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Greater Good Health Pc, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for GREATER GOOD HEALTH PC, INC.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
MISSOULA, MT 59808
MISSOULA, MT 59808
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104503168, enumerated as an "organization" on June 30, 2023.
The provider is located at 2230 N RESERVE ST STE 110 MISSOULA, MT 59808 and the phone number is (310) 658-3775.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
