SHH MEDICAL GROUP IDAHO, LLC
NPI 1972165579
Clinic/Center - Primary Care in Boise, ID

Q: What is Shh Medical Group Idaho, LLC's NPI number?

The NPI number for Shh Medical Group Idaho, LLC is 1972165579. It was assigned to this organization in the NPPES registry on July 3, 2019. The provider is doing business as Autumn Ridge Medical Group.

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

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

Active since July 03, 2019

3751 N CLOVERDALE RD, BOISE, ID 83713(208) 321-5073(208) 376-0269 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shh Medical Group Idaho, Llc NPPES

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

SHH MEDICAL GROUP IDAHO, LLC (NPI 1972165579), doing business as Autumn Ridge Medical Group, is a healthcare organization registered as a primary care in Boise, Idaho and active in the NPI registry since July 2019. The organization lists Jason Fletcher, President, as its authorized official.

NPPES Registry Identity

NPI1972165579

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSHH MEDICAL GROUP IDAHO, LLC

Location Address3751 N CLOVERDALE RDBoise, ID 83713-3610

Mailing AddressPo Box 1176Meridian, ID 83680-1176 · (208) 376-7298 · Fax (208) 377-8310

Phone(208) 321-5073

Fax(208) 376-0269

Organization SubpartNo

Authorized OfficialJason FletcherPresident · (208) 376-7298

Enumeration DateJuly 3, 2019

✔ NPI 1972165579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

3751 N CLOVERDALE RD, Boise, ID 83713

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Other Names 1

Doing Business AsAutumn Ridge Medical Group

Other Providers at the Same Location NPPES 3

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

THE NEIGHBORHOOD CLINIC, LLC

Family Medicine

3751 N CLOVERDALE RD
BOISE, ID 83713

Ada County (208) 321-5073

AUBURN CREST HOSPICE TREASURE VALLEY, LLC

Hospice Care, Community Based

3751 N CLOVERDALE RD
BOISE, ID 83713

Ada County (208) 321-5073

MICHELLE RENEE RICK

Nurse Practitioner (Family)

3751 N CLOVERDALE RD
BOISE, ID 83713

Ada County (208) 321-5073

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 Idaho, LLC's NPI number?

The NPI number for Shh Medical Group Idaho, LLC is 1972165579. It was assigned to this organization in the NPPES registry on July 3, 2019. The provider is doing business as Autumn Ridge Medical Group.

Where is Shh Medical Group Idaho, LLC located?

Shh Medical Group Idaho, LLC is located at 3751 N Cloverdale Rd, Boise, ID 83713. The listed phone number is (208) 321-5073.

What is Shh Medical Group 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 Idaho, LLC was last updated on July 3, 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.