Sterling Provider Group

NPI #1477200244 in Chubbuck, Idaho

Provider Information

NPI Number: 1477200244
Entity Type: Organization
Organization Name: Sterling Provider Group
Primary Specialty: Clinic/Center - Rural Health
Enumeration Date: Mar 2, 2022
Last Updated: Apr 1, 2025

Practice Location

Address: 5605 NORTHSIDE CROSSING ROAD
City: Chubbuck
State: Idaho
ZIP Code: 83202-2431
Phone: (208) 547-5062

Authorized Official

Name: CORBIN BUNNAGE, PA-C
Title: PROVIDER/OWNER
Phone: (208) 542-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Clinic/Center - Rural Health — Rural Health	261QR1300X	Primary

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