STERLING PROVIDER GROUP NPI 1164066015

NPI Information

NPI: 1164066015
Provider Name: STERLING PROVIDER GROUP
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 46D2159388

Address:
609 S HIGHWAY 91 # A
RICHMOND, UT
ZIP 84333
Phone: (435) 294-3215
Get Directions

STERLING PROVIDER GROUP is an urgent care clinic center in Richmond, UT. STERLING PROVIDER GROUP NPI is 1164066015. The provider is registered as an organization entity type.

The provider's business location address is:

609 S HIGHWAY 91 # A
RICHMOND, UT
ZIP 84333-208
Phone: (435) 294-3215
Fax: (435) 294-2960

The provider's authorized official is Corbin Bunnage .
The authorized official title is Provider/owner and has the following contact phone number (208) 542-9111.

The CLIA number assigned to this NPI record is 46D2159388 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/4/2019 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QP2300X	Clinic/Center	Primary Care	No
2	261QU0200X	Clinic/Center	Urgent Care	Yes
3	261QX0100X	Clinic/Center	Occupational Medicine	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	46D2159388	OTHER	UTAH	CLIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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