OrganizationActive
Sterling Provider Group
NPI 1205300407 · Urgent Care Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1205300407
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Corbin Bunnage, Provider/Owner(208) 542-9111
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Practice location
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone: (208) 542-9111
Fax: (208) 542-9114
Approximate (ZIP-level) locationGet directions
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Registry dates
- Enumerated
- 2019-01-22
- Last updated
- 2024-07-25
- Certified
- 2024-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.