| Greater Good Health PC, Inc. | |
|
2230 N Reserve St Ste 110 Missoula MT 59808-1364 | |
| (310) 658-3775 | |
| Not Available |
| Full Name | Greater Good Health PC, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2230 N Reserve St Ste 110, Missoula, Montana |
| Authorized Official Name and Position | Sylvia Hastanan (VICE PRESIDENT) |
| Authorized Official Contact | 3107958807 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Good Health PC, Inc. 300 Continental Blvd Ste 635 El Segundo CA 90245-5040 Ph: (310) 658-3775 | Greater Good Health PC, Inc. 2230 N Reserve St Ste 110 Missoula MT 59808-1364 Ph: (310) 658-3775 |
| NPI Number | 1104503168 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Medicare PECOS PAC ID | 5294106027 |
|---|---|
| Medicare Enrollment ID | O20231024001501 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104503168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Secondary |
| Provider Name | Tami Mellinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396896569 PECOS PAC ID: 2668423831 Enrollment ID: I20050204000259 |
| Provider Name | Miranda J Meunier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588838213 PECOS PAC ID: 8224196316 Enrollment ID: I20081017000535 |
| Provider Name | Janelle J Sunvold-palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508826082 PECOS PAC ID: 7214023746 Enrollment ID: I20090709000315 |
| Provider Name | Lindsay a Kindelman Lande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689003691 PECOS PAC ID: 6901034305 Enrollment ID: I20140109001845 |
| Provider Name | Amy M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386058345 PECOS PAC ID: 5496973620 Enrollment ID: I20140828002543 |
| Provider Name | Elizabeth Wiener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346639192 PECOS PAC ID: 2769709484 Enrollment ID: I20150318000030 |
| Provider Name | Lily Avgustovskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093122335 PECOS PAC ID: 6800118795 Enrollment ID: I20160908002041 |
| Provider Name | Christine Chaloux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841648599 PECOS PAC ID: 2466746284 Enrollment ID: I20181031002002 |
| Provider Name | Tandra Schmid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598056087 PECOS PAC ID: 9436336674 Enrollment ID: I20240515001273 |
| Provider Name | Edla Rucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467609784 PECOS PAC ID: 5597925396 Enrollment ID: I20240517002760 |
| Provider Name | Hali Jean Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467274761 PECOS PAC ID: 0547797391 Enrollment ID: I20241218002510 |
| Provider Name | Michelle a Martell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598416380 PECOS PAC ID: 2365970019 Enrollment ID: I20250109001627 |
| Provider Name | Katherine Hanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548072002 PECOS PAC ID: 0244739852 Enrollment ID: I20260306000577 |
| Provider Name | Mackenzie T Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760319925 PECOS PAC ID: 5597238634 Enrollment ID: I20260622000523 |
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