P Praxis·MD
● Active Type 2 · Organization

Greater Good Health Pc, Inc.

Clinic/Center·Ammon, ID· NPI 1033095914 · Enumerated 2025 · 0 years on NPI
Greater Good Health Pc, Inc. is 1 of 104 clinic/center organizations in Idaho.
NPI age
— years
Enumerated 2025-08-14
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hastanan
Vice President
Last NPPES update
2025-08-14
Source: monthly bulk 2026-05

How this organization compares

Across 104 active clinic/center providers in Idaho.

NPI age
0 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 10% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-08Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
3017 Eagle Drive
Ammon, ID 83406
📞 6262323929
Mailing address
300 Continental Blvd Ste 560
El Segundo, CA 902455030
📞 6262323929

Authorized official

Sylvia Hastanan
Vice President
📞 3107958807

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X
  • Nurse Practitioner
    Definition to come...
    taxonomy 363LP2300X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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