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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 1639713589
Clinic/Center - Urgent Care in Logan, UT

Active since November 04, 2019
630 E 1400 N STE 150, LOGAN, UT 84341(435) 915-4465(435) 799-3664 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2024, Apr 25, 2024, May 14, 2020 and 2 more (5 updates tracked since 2019).

About Sterling Provider Group NPPES

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

STERLING PROVIDER GROUP (NPI 1639713589) is a healthcare organization registered as an urgent care in Logan, Utah and active in the NPI registry since November 2019. The organization lists Corbin Bunnage, Provider/ower, as its authorized official.

NPPES Registry Identity

NPI1639713589
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameSTERLING PROVIDER GROUP
Location Address630 E 1400 N STE 150Logan, UT 84341-2549
Mailing Address740 S Woodruff AveIdaho Falls, ID 83401-5285 · (208) 542-9111 · Fax (208) 542-9114
Phone(435) 915-4465
Fax(435) 799-3664
Organization SubpartNo
Authorized OfficialCorbin BunnageProvider/ower · (208) 542-9111
Enumeration DateNovember 4, 2019
Last NPPES UpdateJune 17, 20265 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1639713589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
630 E 1400 N STE 150, Logan, UT 84341
Open in Google Maps ↗

Other Identifiers 1

Other46D2147193UT · Clia

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TOD MICHAEL MORRISON FNP
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
STERLING MEDICAL LLC
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
DR. JACOB DOUGLAS ANDERSON DNP
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
DALE JAMES BINGHAM PA-C
Physician Assistant
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
MR. DEVON E. DAHLKE PA-C
Physician Assistant
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
ANDREA GAYLE SIMONS FNP
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465
TREVOR REED SMITH MD
Internal Medicine (Nephrology)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 932-2038
SKYLER TALBOT FNP
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Cache County (435) 915-4465

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 1639713589. It was assigned to this organization in the NPPES registry on November 4, 2019.

Where is Sterling Provider Group located?

Sterling Provider Group is located at 630 E 1400 N Ste 150, Logan, UT 84341. The listed phone number is (435) 915-4465.

What is Sterling Provider Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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 56 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.