OrganizationActive
Sterling Provider Group
NPI 1407564123 · Rural Health Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1407564123
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Corbin Bunnage, Provider/Owner(208) 542-9111
Specialties & taxonomies
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Practice location
260 East Moody Road
Rexburg, ID 83440
Phone: (208) 656-3553
Fax: (844) 523-9111
Approximate (ZIP-level) locationGet directions
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Registry dates
- Enumerated
- 2022-11-10
- Last updated
- 2025-04-01
- Certified
- 2025-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.