STERLING PROVIDER GROUP (NPI# 1912541863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912541863 |
| Entity Type | Organization |
| Organization Name | STERLING PROVIDER GROUP |
| Practice Address |
507 S Main St Hailey ID 83333-8929 |
| Mailing Address |
740 S Woodruff Ave Idaho Falls ID 83401-5285 |
| Practice Telephone | 2087884122 |
| Practice Fax Number | 2087886430 |
| Mailing Telephone | 2085429111 |
| Mailing Fax Number | 2085429114 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | CORBIN BUNNAGE (OWNER) |
| Authorized Official Telephone | 2085429111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1164044962 | Sterling Provider Group | Clinic/Center | 1952 Harrison Drive, Evanston, WY 82930 | 2020-05-14 |
| 1568084515 | Sterling Provider Group | Clinic/Center | 2761 Commercial Way, Rock Springs, WY 82901-4753 | 2020-05-13 |
| 1962047431 | Sterling Provider Group | Clinic/Center | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2019-11-08 |
| 1639713589 | Sterling Provider Group | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2019-11-04 |
| 1447894399 | Sterling Provider Group | Clinic/Center | 1201 S Main St Ste 110, Logan, UT 84321-8504 | 2019-11-04 |
| 1659915593 | Sterling Provider Group | Clinic/Center | 1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 | 2019-11-04 |
| 1205300407 | Sterling Provider Group | Clinic/Center | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2019-01-22 |
| Street Address |
507 S MAIN ST |
| City | HAILEY |
| State | ID |
| Zip Code | 83333-8929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457826190 | Sterling Physician Group Pllc | Clinic/Center | 507 S Main St, Hailey, ID 83333-8428 | 2018-10-09 |
| 1659586600 | Boulder Mountain Physical Therapy | Physical Therapist | 507 S Main St, Hailey, ID 83333-8428 | 2007-05-13 |
| 1376769992 | Amanda Brady King | Physical Therapist | 507 S Main St, Hailey, ID 83333-8428 | 2007-04-18 |
| 1588754162 | David L. Budge | Physician Assistant | 507 S Main St, Hailey, ID 83333-8929 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
| 1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
| 1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
| 1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
| 1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
| 1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
| 1730308305 | Betty Lee Brooks | Counselor | 1811 Laurelwood Dr, Hailey, ID 83333 | 2007-04-24 |
| 1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
| 1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
| 1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
| Find all providers in zip 83333 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457826190 | Sterling Physician Group Pllc | Clinic/Center | 507 S Main St, Hailey, ID 83333-8428 | 2018-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291088 | Bloom Care LLC | Clinic/Center | 1610 Caldwell Blvd, Nampa, ID 83651-1728 | 2020-09-30 |
| 1679134126 | Bloom Care LLC | Clinic/Center | 6965 N Glenwood St, Boise, ID 83714-1967 | 2019-06-25 |
| 1770044703 | Two Rivers Medical Group | Clinic/Center | 151 W Galvani Dr Ste 151, Meridian, ID 83642-8008 | 2019-03-31 |
| 1912481292 | Falls Avenue Immediate Care Pa | Clinic/Center | 260 Falls Ave Ste D, Twin Falls, ID 83301-3370 | 2018-09-21 |
| 1396290953 | Gem Express Medical Group | Clinic/Center | 829b S Washington Ave, Emmett, ID 83617-3528 | 2016-08-23 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| 1750621744 | Lakeland Immediate Care LLC | Clinic/Center | 15636 N Highway 41 Ste 100, Rathdrum, ID 83858-8710 | 2013-02-27 |
| 1790043693 | River View Urgent Care & Medical Center Inc | Clinic/Center | 382 N Overland Ave, Burley, ID 83318-3433 | 2012-04-27 |
| 1841596186 | Magic Valley Urgent Care, Pllc | Clinic/Center | 496 Shoup Ave W Ste F, Twin Falls, ID 83301-5043 | 2011-02-03 |
| 1437214475 | Tamarack Medical Clinic | Clinic/Center | 610 Village Dr, Donnelly, ID 83615 | 2006-12-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.