Basic Information
| Provider Information | |||||||||
| NPI: | 1336226729 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STERLING MEDICAL ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 125 E 5TH AVE | ||||||||
| Address2: | |||||||||
| City: | NORTH POLE | ||||||||
| State: | AK | ||||||||
| PostalCode: | 997057774 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9074882839 | ||||||||
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| Practice Location | |||||||||
| Address1: | 411 OAK ST | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452192598 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5139841800 | ||||||||
| FaxNumber: | 5139844909 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | MOORE | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALS COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 5139841800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1100X | 5650 | AK | Y | Ambulatory Health Care Facilities | Clinic/Center | Military/U.S. Coast Guard Outpatient |
No ID Information.