NPI 1164044962

Sterling Provider Group

Organisation Rural Health Clinic/Center Evanston, WY

Practice location

Address: 1952 Harrison Dr STE 1, Evanston, WY 82930-3241
Phone: (208) 542-9111
Fax: (208) 542-9114
Mailing address: 740 S Woodruff Ave, Idaho Falls, ID 83401-5285

Authorised official

Name: Corbin Bunnage
Title: Provider/Owner
Phone: (208) 542-9111

Registered specialties (5)

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in Wyoming →

Mental Health Clinic/Center (Including Community Mental Health Center)

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Primary Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X

Occupational Medicine Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QX0100X

Registry record

NPI: 1164044962
Entity type: Organization
NPI issued: 14 May 2020
Record last updated: 17 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.