OrganizationActive
Sterling Provider Group
NPI 1639713589 · Urgent Care Clinic/Center · Logan, UT
Provider details
- NPI number
- 1639713589
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Corbin Bunnage, Provider/Ower(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
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 E 1400 N Ste 150
Logan, UT 84341-2549
Phone: (435) 915-4465
Fax: (435) 799-3664
Street-level locationGet directions
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Registry dates
- Enumerated
- 2019-11-04
- Last updated
- 2024-07-27
- Certified
- 2024-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.