P Praxis·MD
● Active Type 2 · Organization

Shh Medical Group North Idaho, Llc

Clinic/Center·Coeur D Alene, ID· NPI 1679103485 · Enumerated 2020 · 6 years on NPI
Shh Medical Group North Idaho, Llc is 1 of 104 clinic/center organizations in Idaho.
NPI age
6 years
Enumerated 2020-01-21
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fletcher
President
Last NPPES update
2020-01-21
Source: monthly bulk 2026-05

How this organization compares

Across 104 active clinic/center providers in Idaho.

NPI age
6 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
1221 W Ironwood Dr Ste 102
Coeur D Alene, ID 838141402
📞 2087737731fax 2086658112
Mailing address
Po Box 1176
Meridian, ID 836801176
📞 2083767298fax 2083778310

Authorized official

Jason Fletcher
President
📞 2083767298

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • AUTUMN RIDGE MEDICAL GROUP
    Type code 3 recorded 2020-01-21

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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