| Greater Good Health Pc, Inc. | |
|
3017 Eagle Drive Ammon ID 83406 | |
| (626) 232-3929 | |
| Not Available |
| Full Name | Greater Good Health Pc, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3017 Eagle Drive, Ammon, Idaho |
| Authorized Official Name and Position | Sylvia Hastanan (VICE PRESIDENT) |
| Authorized Official Contact | 3107958807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Good Health Pc, Inc. 300 Continental Blvd Ste 560 El Segundo CA 90245-5030 Ph: (626) 232-3929 | Greater Good Health Pc, Inc. 3017 Eagle Drive Ammon ID 83406 Ph: (626) 232-3929 |
| NPI Number | 1033095914 |
|---|---|
| Provider Enumeration Date | 08/14/2025 |
| Last Update Date | 08/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033095914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
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