Sterling Provider Group
LBN: Sterling Provider Group
Sterling Provider Group is an health care organization with primary practice located at 1952 Harrison Dr Ste 1 , Evanston WY 82930-3241. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Sterling Provider Group can be contacted via phone (208) 542-9111, or through Bunnage, Corbin via phone (208) 542-9111.
Contact Information
Primary practice address
1952 Harrison Dr Ste 1
Evanston WY 82930-3241
Phone: (208) 542-9111
Fax: (208) 542-9114
Website:
Authorized official contact:
Name: Bunnage, Corbin Physician's Assistant Certified (PA-C)
Phone: (208) 542-9111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1164044962 |
|---|---|
| LBN Legal business name | Sterling Provider Group |
| DBA Doing business as | |
| Authorized official | Bunnage, Corbin Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 14th, 2020 |
| Last updated | Apr 25th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164044962 | NPPES |
| Wyoming | Other | 53D2184485 | CLIA |
Popular Providers
-
Columbia Valley Community Health
600 Orondo Ave Ste 1 , Wenatchee WA 98801-2800 -
Summit Physician Services
785 5Th Avenue Suite 3, Chambersburg PA 17201-4232 -
Georgia Highlands Medical Services, Inc.
220 Oakside Ln , Canton GA 30114-6413 -
St. Mary'S Health Inc
100 S Rosenberger Avenue Suite A200, Evansville IN 47712-6591 -
Doctors On Duty Medical Group, Inc
1212 S Main St , Salinas CA 93901-2260 -
Cross Road Health Ministries, Inc.
Mile 187 Glenn Highway , Glennallen AK 99588-0589 -
Primecare At Twin Lakes Llc
1890 Lpga Blvd Ste 130, Daytona Beach FL 32117-7130 -
Georgia Highlands Medical Services, Inc.
260 Elm St , Cumming GA 30040-2467