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Contact Information

STERLING PROVIDER GROUP
1952 HARRISON DR STE 1
EVANSTON, WY82930-3241
 Phone: 208-542-9111
 Fax: 208-542-9114
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Occupational Medicine

261QX0100X
 

Primary Care

261QP2300X
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for STERLING PROVIDER GROUP

NPI Number 1164044962
LBN Legal business name STERLING PROVIDER GROUP
Authorized official CORBIN BUNNAGE - (PROVIDER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2020
Last updated 04/01/2025 - More than a year ago
Identifiers
WY Other 53D2184485 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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