National Provider Identifier Database

STERLING PROVIDER GROUP
Rural Health


Contact Information

STERLING PROVIDER GROUP
507 S MAIN ST
HAILEY, ID83333-8929
Phone: 208-788-4122
Fax: 208-788-6430
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Occupational Medicine 261QX0100X
Primary Care 261QP2300X
Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for STERLING PROVIDER GROUP

NPI Number 1912541863
Legal business name
LBN
STERLING PROVIDER GROUP
Authorized official CORBIN BUNNAGE - (PROVIDER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/04/2019
Last updated 04/01/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • ID Other: 13D2157719 CLIA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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