Sterling Provider Group
LBN: Sterling Provider Group
Sterling Provider Group is an health care organization with primary practice located at 1129 S Broadway Ave , Boise ID 83706-3626. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Sterling Provider Group can be contacted via phone (208) 795-9790, or through Bunnage, Corbin via phone (208) 542-9111.
Contact Information
Primary practice address
1129 S Broadway Ave
Boise ID 83706-3626
Phone: (208) 795-9790
Fax: (208) 795-9791
Website:
Authorized official contact:
Name: Bunnage, Corbin Physician's Assistant Certified (PA-C)
Phone: (208) 542-9111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1265287726 |
|---|---|
| LBN Legal business name | Sterling Provider Group |
| DBA Doing business as | |
| Authorized official | Bunnage, Corbin Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 18th, 2024 |
| Last updated | Apr 25th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265287726 | NPPES |
| Idaho | Other | 13D2212497 | CLIA |
Popular Providers
-
Sterling Provider Group
10965 W Overland Rd , Boise ID 83709-1569 -
Cross Road Health Ministries, Inc.
Mile 187 Glenn Highway , Glennallen AK 99588-0589 -
Summit Physician Services
785 5Th Avenue Suite 3, Chambersburg PA 17201-4232 -
Bloom Idaho Llc
10965 W Overland Road , Boise ID 83709 -
Primecare At Twin Lakes Llc
1890 Lpga Blvd Ste 130, Daytona Beach FL 32117-7130 -
Columbia Valley Community Health
600 Orondo Ave Ste 1 , Wenatchee WA 98801-2800 -
Doctors On Duty Medical Group, Inc
1212 S Main St , Salinas CA 93901-2260 -
Public Hospital District #1-A Of Whitman County
835 Se Bishop Blvd , Pullman WA 99163-5512