Sterling Provider Group
Sterling Provider Group is a Mental Health Clinic/Center (Including Community Mental Health Center) in Boise, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
Practice location Address checks out
1129 S Broadway AveBoise, ID 83706-3626
Phone: (208) 795-9790
Fax: (208) 795-9791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urgent Care Clinic/Center (primary) | Taxonomy 261QU0200X |
|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
| Occupational Medicine Clinic/Center | Taxonomy 261QX0100X |
Record details
| NPI number | 1265287726 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Corbin Bunnage — Provider/Owner · (208) 542-9111 |
| NPI enumerated | April 18, 2024 |
| Last updated in NPPES | June 17, 2026 |
| Certification date | June 17, 2026 |
| Mailing address | 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 |
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