STERLING PROVIDER GROUP
NPI 1912541863
Clinic/Center - Rural Health in Hailey, ID

Active since November 04, 2019
507 S MAIN ST, HAILEY, ID 83333(208) 788-4122(208) 788-6430 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2025, Jul 26, 2024, Apr 25, 2024 and 3 more (6 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 1912541863) is a healthcare organization registered as a rural health in Hailey, Idaho and active in the NPI registry since November 2019. The organization lists Corbin Bunnage, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1912541863
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSTERLING PROVIDER GROUP
Location Address507 S MAIN STHailey, ID 83333-8929
Mailing Address740 S Woodruff AveIdaho Falls, ID 83401-5285 · (208) 542-9111 · Fax (208) 542-9114
Fax(208) 788-6430
Organization SubpartNo
Authorized OfficialCorbin BunnageProvider/owner · (208) 542-9111
Enumeration DateNovember 4, 2019
Last NPPES UpdateJune 17, 20266 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
NPI 1912541863 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 · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
507 S MAIN ST, Hailey, ID 83333

Other Identifiers 1

Other13D2157719ID · Clia

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
507 S MAIN ST
HAILEY, ID 83333
Physician Assistant
507 S MAIN ST
HAILEY, ID 83333
Physical Therapist
507 S MAIN ST
HAILEY, ID 83333
Physician Assistant
507 S MAIN ST
HAILEY, ID 83333
Family Medicine
507 S MAIN ST
HAILEY, ID 83333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912541863, enumerated as an "organization" on November 04, 2019.

The provider is located at 507 S MAIN ST HAILEY, ID 83333 and the phone number is (208) 788-4122.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.