OrganizationActive
Shh Medical Group North Idaho, LLC
NPI 1679103485 · Primary Care Clinic/Center · Coeur D Alene, ID
Provider details
- NPI number
- 1679103485
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Fletcher, President(208) 376-7298
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1221 W Ironwood Dr Ste 102
Coeur D Alene, ID 83814-1402
Phone: (208) 773-7731
Fax: (208) 665-8112
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1176
Meridian, ID 83680-1176
Other names (DBA / former)
- Doing business as
- Autumn Ridge Medical Group
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.