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Sterling Provider Group
Occupational Medicine Clinic/Center in Chubbuck, Idaho
NPI 1477200244

Sterling Provider Group is a Occupational Medicine Clinic/Center based in Idaho Falls, ID and is specialized in Occupational Medicine. Sterling Provider Group practices in Chubbuck, ID. The NPI Number for Sterling Provider Group is 1477200244 and holds a License No. (Idaho).

The current practice location address for Sterling Provider Group is 5605 Northside Crossing Road, Chubbuck, ID and can be reached out via phone at 208-547-5062 and via fax at 208-547-5063.

Location: 5605 Northside Crossing Road, Chubbuck, ID, 83401-5285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477200244
Provider Name
Sterling Provider Group
Credential
Provider Entity Type
Organization
Address
5605 Northside Crossing Road, Chubbuck, ID, 83401-5285
Phone Number
208-547-5062
Fax Number
208-547-5063
Provider Enumeration Date
03/02/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13D2241709 01 ID CLIA
institution
Provider Business Practice Location Address Details
Address
5605 Northside Crossing Road
City
Chubbuck
State
Idaho
Zip
83202-2431
Phone Number
208-547-5062
Fax Number
208-547-5063
person
Provider Business Mailing Address Details
Address
5605 Northside Crossing Road
City
Chubbuck
State
Idaho
Zip
83202-2431
Phone Number
208-547-5062
Fax Number
208-547-5063
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Occupational Medicine
Taxonomy
261QX0100X
License No.
()
Definition
Definition to come...
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