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SHH MEDICAL GROUP NORTH IDAHO, LLC
NPI 1679103485
Clinic/Center - Primary Care in Coeur D Alene, ID

Active since January 21, 2020
1221 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814(208) 773-7731(208) 665-8112 Get Directions Write a Review

NPPES record last updated: January 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shh Medical Group North Idaho, Llc NPPES

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

SHH MEDICAL GROUP NORTH IDAHO, LLC (NPI 1679103485), doing business as Autumn Ridge Medical Group, is a healthcare organization registered as a primary care in Coeur D Alene, Idaho and active in the NPI registry since January 2020. The organization lists Jason Fletcher, President, as its authorized official.

NPPES Registry Identity

NPI1679103485
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHH MEDICAL GROUP NORTH IDAHO, LLC
Location Address1221 W IRONWOOD DR STE 102Coeur D Alene, ID 83814-1402
Mailing AddressPo Box 1176Meridian, ID 83680-1176 · (208) 376-7298 · Fax (208) 377-8310
Phone(208) 773-7731
Fax(208) 665-8112
Organization SubpartNo
Authorized OfficialJason FletcherPresident · (208) 376-7298
Enumeration DateJanuary 21, 2020
✔ NPI 1679103485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1221 W IRONWOOD DR STE 102, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsAutumn Ridge Medical Group

Other Providers at the Same Location NPPES 8

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

DR. THOMAS PATRICK MARTIN MD
Family Medicine (Hospice and Palliative Medicine)
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (208) 773-7731
LORRAINE ALDRICH ADMIN
Behavior Technician
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (208) 664-2486
KIRSTEN FRITZ
Social Worker
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (503) 477-3966
EVELYNN MAAS
Counselor (Mental Health)
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (208) 664-2486
SHH MEDICAL GROUP LLC
Clinic/Center (Primary Care)
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (208) 665-8111
SERENE LIFE COUNSELING LLC
Counselor (Mental Health)
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (425) 870-2222
BRIANNA WILLIAMS
Counselor (Mental Health)
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (208) 664-2486
TERRI G COWGILL LPC
Counselor (Mental Health)
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (208) 664-2486

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 Shh Medical Group North Idaho, LLC's NPI number?

The NPI number for Shh Medical Group North Idaho, LLC is 1679103485. It was assigned to this organization in the NPPES registry on January 21, 2020. The provider is doing business as Autumn Ridge Medical Group.

Where is Shh Medical Group North Idaho, LLC located?

Shh Medical Group North Idaho, LLC is located at 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814. The listed phone number is (208) 773-7731.

What is Shh Medical Group North Idaho, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Shh Medical Group North Idaho, LLC was last updated on January 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.