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: November 01, 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

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

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Greater Good Health PC, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 21
Nurse Practitioner
NPI 1689003691
2230 N RESERVE ST STE 110
Missoula, MT 59808
(406) 430-2035
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760319925
2230 N RESERVE ST STE 110
Missoula, MT 59808
(406) 926-5111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598416380
2230 N RESERVE ST STE 110
Missoula, MT 59808
(406) 926-5111
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1396896569
2230 N RESERVE ST STE 110
Missoula, MT 59808
(406) 926-5111
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1598056087
2230 N RESERVE ST STE 110
Missoula, MT 59808
(406) 430-2035
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1548072002
405 3RD ST NW UNIT 102
Great Falls, MT 59404
(833) 750-0637
✔ PECOS✔ Accepts Medicare135 mi
Nurse Practitioner
NPI 1467609784
405 3RD ST NW STE 102&103
Great Falls, MT 59404
(406) 430-2035
✔ PECOS135 mi
Nurse Practitioner
NPI 1467274761
405 3RD ST NW UNIT 102
Great Falls, MT 59404
(406) 365-1424
✔ PECOS✔ Accepts Medicare135 mi
Nurse Practitioner
NPI 1346639192
405 3RD ST NW STE 102&103
Great Falls, MT 59404
(406) 430-2035
✔ PECOS✔ Accepts Medicare135 mi
Nurse Practitioner
NPI 1093122335
1401 25TH ST S
Great Falls, MT 59405
(406) 731-8888
✔ PECOS✔ Accepts Medicare137 mi
Nurse Practitioner
NPI 1841648599
1423 38TH ST W UNIT 3
Billings, MT 59102
(406) 430-2035
✔ PECOS✔ Accepts Medicare270 mi
Nurse Practitioner
NPI 1588838213
1423 38TH ST W UNIT 3
Billings, MT 59102
(406) 430-2035
✔ PECOS✔ Accepts Medicare270 mi
Nurse Practitioner
NPI 1508826082
1423 38TH ST W UNIT 3
Billings, MT 59102
(406) 430-2035
✔ PECOS270 mi
Nurse Practitioner
NPI 1356032262
1633 W INNOVATION WAY FL 4
Lehi, UT 84043
(855) 726-6363
✔ PECOS459 mi
Nurse Practitioner
NPI 1669027793
3190 STATE ST STE 102
Medford, OR 97504
(541) 862-5580
✔ PECOS✔ Accepts Medicare536 mi
Nurse Practitioner
NPI 1538936745
390 W WASHINGTON PALMS WAY
Washington, UT 84780
(435) 313-3910
✔ PECOS✔ Accepts Medicare676 mi
Nurse Practitioner
NPI 1013636851
1601 W ORANGETHORPE AVE APT 29
Fullerton, CA 92833
(714) 399-5491
✔ PECOS922 mi
Nurse Practitioner
NPI 1518718105
3900 5TH AVE STE 110
San Diego, CA 92103
(858) 554-1212
✔ PECOS989 mi
Nurse Practitioner
NPI 1982345187
539 W COMMERCE ST # 1783
Dallas, TX 75208
(346) 813-0234
✔ PECOS1,331 mi
Nurse Practitioner
NPI 1932372570
926 MAIN ST
Nashville, TN 37206
(615) 436-9060
✔ PECOS✔ Accepts Medicare1,585 mi
See all 21 clinicians

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 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.

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.

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), 21 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, 2 practice at this address and 5 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. 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 3 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.