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AUTUMN RIDGE MEDICAL GROUP
NPI 1740844885
Clinic/Center - Primary Care in Coeur D Alene, ID

Active since April 24, 2019
1221 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814(208) 665-8111(208) 665-8112 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Ridge Medical Group NPPES

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

AUTUMN RIDGE MEDICAL GROUP (NPI 1740844885) is a healthcare organization registered as a primary care in Coeur D Alene, Idaho and active in the NPI registry since April 2019. The organization lists Jason Fletcher, President, as its authorized official.

NPPES Registry Identity

NPI1740844885
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSHH MEDICAL GROUP 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) 665-8111
Fax(208) 665-8112
Organization SubpartNo
Authorized OfficialJason FletcherPresident · (208) 376-7298
Enumeration DateApril 24, 2019
Last NPPES UpdateJune 26, 2019
✔ NPI 1740844885 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 NORTH IDAHO, LLC
Clinic/Center (Primary Care)
1221 W IRONWOOD DR STE 102
COEUR D ALENE, ID 83814
Kootenai County (208) 773-7731
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 LLC's NPI number?

The NPI number for Shh Medical Group LLC is 1740844885. It was assigned to this organization in the NPPES registry on April 24, 2019. The provider is doing business as Autumn Ridge Medical Group.

Where is Shh Medical Group LLC located?

Shh Medical Group LLC is located at 1221 W Ironwood Dr Ste 102, Coeur D Alene, ID 83814. The listed phone number is (208) 665-8111.

What is Shh Medical Group 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 LLC was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.