STERLING PROVIDER GROUP – NPI #1316793615
Clinic/Center

STERLING PROVIDER GROUP is an AHC clinic located in MERIDIAN, ID. NPPES has assigned the NPI number 1316793615 to STERLING PROVIDER GROUP on April 26, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STERLING PROVIDER GROUP below.

NPI Profile for
STERLING PROVIDER GROUP

NPI Number
1316793615
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STERLING PROVIDER GROUP
Primary location
1737 S MERIDIAN RD
MERIDIAN, ID 83642
Phone: (986) 256-8880 Fax: (986) 256-8881
Mailing address
740 S WOODRUFF AVE
IDAHO FALLS, ID 83401-5285
Phone: (208) 542-9111 Fax: (208) 542-9114
Organization Subpart
No
Authorized Official
CORBIN BUNNAGE
OWNER
Phone: (208) 542-9111
Updated
Certification Date
Dec 29, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
261QX0100X
- Clinic/Center / Occupational Medicine
261QP2300X
- Clinic/Center / Primary Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.