STERLING PROVIDER GROUP
NPI 1144975152
Clinic/Center - Urgent Care in Lewiston, ID

NPI Status: Active since February 17, 2022

Contact Information

2201 THAIN GRADE
LEWISTON, ID
ZIP 83501
Phone: (208) 717-3100
Fax: (208) 717-3099

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 13D2264847
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-09-2025

About STERLING PROVIDER GROUP

This page provides the complete NPI Profile along with additional information for Sterling Provider Group, a provider established in Lewiston, Idaho operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1144975152 assigned on February 2022. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Corbin Bunnage Pa-c (Provider/owner)

NPI
1144975152
Provider Name
STERLING PROVIDER GROUP
Entity Type
Organization
Location Address
2201 THAIN GRADE LEWISTON, ID 83501
Location Phone
(208) 717-3100
Location Fax
(208) 717-3099
Mailing Address
740 S WOODRUFF AVE IDAHO FALLS, ID 83401
Mailing Phone
(208) 542-9111
Mailing Fax
(208) 717-3099
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2022
Last Update Date
07-26-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

 
2261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CORBIN BUNNAGE PA-C

Authorized Official Title
PROVIDER/OWNER
Authorized Official Phone
(208) 542-9111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
13D2264847OTHER (01)IDCLIA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
13D2264847
Facility Type
Physician Office
Certificate Effective Date
July 10, 2023
Certificate Expiration Date
July 09, 2025
Laboratory Director
MATT HARRIS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Sterling Provider Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144975152
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218418710110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 8 + 7 + 1 + 0 + 1 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1144975152 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144975152, enumerated in the NPI registry as an "organization" on February 17, 2022

The provider is located at 2201 Thain Grade Lewiston, Id 83501 and the phone number is (208) 717-3100

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 13D2264847 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on February 17, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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