STERLING PROVIDER GROUP
NPI 1477200244
Clinic/Center - Rural Health in Chubbuck, ID
NPI Status: Active since March 02, 2022
Contact Information
5605 NORTHSIDE CROSSING ROAD
CHUBBUCK, ID
ZIP 83202
Phone: (208) 547-5062
Fax: (208) 547-5063
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 13D2241709
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-12-2026
About STERLING PROVIDER GROUP
This page provides the complete NPI Profile along with additional information for Sterling Provider Group, a primary care provider established in Chubbuck, Idaho operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1477200244 assigned on March 2022. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated April 2025. The authorized official of this NPI record is Corbin Bunnage Pa-c (Provider/owner)
- NPI
- 1477200244
- Provider Name
- STERLING PROVIDER GROUP
- Entity Type
- Organization
- Location Address
- 5605 NORTHSIDE CROSSING ROAD CHUBBUCK, ID 83202
- Location Phone
- (208) 547-5062
- Location Fax
- (208) 547-5063
- Mailing Address
- 740 S WOODRUFF AVE IDAHO FALLS, ID 83401
- Mailing Phone
- (208) 542-9111
- Mailing Fax
- (208) 547-5063
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-02-2022
- Last Update Date
- 04-01-2025
- Code Navigator
A primary care provider (PCP) like Sterling Provider Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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 Rural Health
- Taxonomy Code
- 261QR1300X
- 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) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | |
| 3 | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center |
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.
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 |
|---|---|---|---|
| 13D2241709 | OTHER (01) | ID | CLIA |
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
- 13D2241709
- Facility Type
- Physician Office
- Certificate Effective Date
- July 13, 2024
- Certificate Expiration Date
- July 12, 2026
- Laboratory Director
- CYNDA TOMLINSON
- 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. | |||||||||
| 1 | 4 | 7 | 7 | 2 | 0 | 0 | 2 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 14 | 7 | 4 | 0 | 0 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 4 + 7 + 4 + 0 + 0 + 2 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1477200244 is valid because the calculated check digit 4 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 1477200244, enumerated in the NPI registry as an "organization" on March 02, 2022
The provider is located at 5605 Northside Crossing Road Chubbuck, Id 83202 and the phone number is (208) 547-5062
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
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 13D2241709 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 March 02, 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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