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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STERLING PROVIDER GROUP
NPI 1164044962
Clinic/Center - Rural Health in Evanston, WY

Active since May 14, 2020
1952 HARRISON DR STE 1, EVANSTON, WY 82930(208) 542-9111(208) 542-9114 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Jul 27, 2024, Apr 25, 2024 and 2 more (5 updates tracked since 2020).

About Sterling Provider Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STERLING PROVIDER GROUP (NPI 1164044962) is a healthcare organization registered as a rural health in Evanston, Wyoming and active in the NPI registry since May 2020. The organization lists Corbin Bunnage, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1164044962
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSTERLING PROVIDER GROUP
Location Address1952 HARRISON DR STE 1Evanston, WY 82930-3241
Mailing Address740 S Woodruff AveIdaho Falls, ID 83401-5285 · (208) 542-9111 · Fax (208) 542-9114
Phone(208) 542-9111
Fax(208) 542-9114
Organization SubpartNo
Authorized OfficialCorbin BunnageProvider/owner · (208) 542-9111
Enumeration DateMay 14, 2020
Last NPPES UpdateJune 17, 20265 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1164044962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
1952 HARRISON DR STE 1, Evanston, WY 82930
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Other Identifiers 1

Other53D2184485WY · Clia

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sterling Provider Group's NPI number?

The NPI number for Sterling Provider Group is 1164044962. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Sterling Provider Group located?

Sterling Provider Group is located at 1952 Harrison Dr Ste 1, Evanston, WY 82930. The listed phone number is (208) 542-9111.

What is Sterling Provider Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Sterling Provider Group was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.