STERLING PROVIDER GROUP (NPI# 1164066015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164066015 |
Entity Type | Organization |
Organization Name | STERLING PROVIDER GROUP |
Practice Address |
700 S Highway 91 Richmond UT 84333-1209 |
Mailing Address |
740 S Woodruff Ave Idaho Falls ID 83401-5285 |
Practice Telephone | 4352943215 |
Practice Fax Number | 4352942960 |
Mailing Telephone | 2085429111 |
Mailing Fax Number | 2085429114 |
Enumeration Date | 2019-11-04 |
Last Update Date | 2020-05-14 |
Authorized Official Name | CORBIN BUNNAGE (OWNER) |
Authorized Official Telephone | 2085429111 |
Authorized Official Credential | PA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | CLIA | 46D2159388 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
1164044962 | Sterling Provider Group | Clinic/Center | 1952 Harrison Drive, Evanston, WY 82930 | 2020-05-14 |
1568084515 | Sterling Provider Group | Clinic/Center | 2761 Commercial Way, Rock Springs, WY 82901-4753 | 2020-05-13 |
1962047431 | Sterling Provider Group | Clinic/Center | 47 Doc Perkes Rd, Afton, WY 83110-7703 | 2019-11-08 |
1912541863 | Sterling Provider Group | Clinic/Center | 507 S Main St, Hailey, ID 83333-8929 | 2019-11-04 |
1639713589 | Sterling Provider Group | Clinic/Center | 630 E 1400 N Ste 150, Logan, UT 84341-2549 | 2019-11-04 |
1447894399 | Sterling Provider Group | Clinic/Center | 1201 S Main St Ste 110, Logan, UT 84321-8504 | 2019-11-04 |
1659915593 | Sterling Provider Group | Clinic/Center | 1404 Pomerelle Ave Ste A1, Burley, ID 83318-2013 | 2019-11-04 |
1205300407 | Sterling Provider Group | Clinic/Center | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 | 2019-01-22 |
Street Address |
700 S HIGHWAY 91 |
City | RICHMOND |
State | UT |
Zip Code | 84333-1209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346342110 | Sharik L Peck | Specialist | 405 S 200 W, Richmond, UT 84333-1267 | 2006-09-02 |
1659427995 | Sheridan L Peck | Occupational Therapist | 405 S 200 W, Richmond, UT 84333-1267 | 2007-01-27 |
1427213594 | Brandon Michael Priebe | Dentist | 105 Highway 91, Richmond, UT 84333-1278 | 2008-07-28 |
1134237670 | Cherry Creek Dental | Dentist | 105 S 200 W, Richmond, UT 84333-1278 | 2006-08-25 |
1639730617 | Kyle Spackman | Dentist | 105 S 200 W, Richmond, UT 84333-1278 | 2019-06-21 |
1487736443 | Monte Carlson | Dentist | 105 S 200 W, Richmond, UT 84333-1278 | 2006-10-19 |
1669554580 | Anthony Larson | Dentist | 105 S 200 W, Richmond, UT 84333-1278 | 2006-10-19 |
1578805149 | Cliff Lawrence Mitchell | Veterinarian | 191 W 100 N, Richmond, UT 84333-1404 | 2013-03-21 |
1881940302 | Kwin Leslie Willis | Marriage & Family Therapist | 44 N Highway 91 Ste 1, Richmond, UT 84333-1419 | 2012-08-02 |
1760816136 | Thomas Rudolph Roskos | Psychologist | 691 S State St, Richmond, UT 84333-1568 | 2013-08-21 |
Find all providers in zip 84333 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124387089 | Waterside Urgent Care Partners Lp | Clinic/Center | 7790 W Grand Pkwy S, Suite 100, Richmond, TX 77469 | 2012-05-14 |
1437475464 | West Main Street Medical Center PC | Clinic/Center | 4760 West Us 40, Richmond, IN 47374 | 2010-04-15 |
1376726430 | American Current Care, Pa. | Clinic/Center | 9211 Burge Avenue, Richmond, VA 23237 | 2007-12-12 |
1154328482 | Pattie A Clay Infirmary Association | Clinic/Center | 648 University Shopping Ctr, Richmond, KY 40475-2614 | 2005-07-01 |
1093251860 | Houston Carenow Urgent Care Pllc | Clinic/Center | 5510 W Grand Pkwy S, Richmond, TX 77406-5879 | 2017-01-17 |
1184075335 | Cjc Services LLC | Clinic/Center | 7834 Forest Hill Ave, Suite #3, Richmond, VA 23225-1974 | 2016-06-29 |
1356756167 | One Stop Urgent Care | Clinic/Center | 1628 Crabb River Rd, Suite B, Richmond, TX 77469-5890 | 2014-07-01 |
1932543741 | Chs Virginia Medical P C | Clinic/Center | 15075 Capital One Dr, Richmond, VA 23238-1122 | 2013-04-23 |
1972845576 | Nluc Pllc | Clinic/Center | 7790 W Grand Pkwy S, Suite 100, Richmond, TX 77469 | 2013-03-21 |
1912242744 | Reid Physician Associates, Inc. | Clinic/Center | 1501 Chester Blvd, Richmond, IN 47374-1914 | 2012-12-05 |
Find all providers in RICHMOND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.