Sterling Provider Group

LBN: Sterling Provider Group
Sterling Provider Group is an health care organization with primary practice located at 260 East Moody Road , Rexburg ID 83440. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Rural Health, Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Sterling Provider Group can be contacted via phone (208) 656-3553, or through Bunnage, Corbin via phone (208) 542-9111.

Contact Information

Primary practice address
260 East Moody Road Rexburg ID 83440
Phone: (208) 656-3553
Fax: (844) 523-9111
Website:
Map and Directions
Authorized official contact:
Name: Bunnage, Corbin Physician's Assistant Certified (PA-C)
Phone: (208) 542-9111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X

Profile Details

NPI number 1407564123
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 Nov 10th, 2022
Last updated Jun 17th, 2026 - about 4 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407564123 NPPES
Idaho Other 13D2273429 CLIA

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