STERLING PROVIDER GROUP NPI 1164044962

NPI Information

NPI: 1164044962
Provider Name: STERLING PROVIDER GROUP
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
1952 HARRISON DR STE 1
EVANSTON, WY
ZIP 82930
Phone: (208) 542-9111
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STERLING PROVIDER GROUP is an urgent care clinic center in Evanston, WY. STERLING PROVIDER GROUP NPI is 1164044962. The provider is registered as an organization entity type.

The provider's business location address is:

1952 HARRISON DR STE 1
EVANSTON, WY
ZIP 82930-241
Phone: (208) 542-9111
Fax: (208) 542-9114

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 enumeration date for this NPI number is 5/14/2020 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	53D2184485	OTHER	WYOMING	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: 4/28/2024

NPI Synchronization or Removal

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