NPI age
6 years
Enumerated 2019-07-03
● Active Type 2 · Organization
Shh Medical Group Idaho, Llc
Shh Medical Group Idaho, Llc is 1 of 104 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fletcher
President
Last NPPES update
2019-07-03
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 · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
3751 N Cloverdale Rd
Boise, ID 837133610
Mailing address
Po Box 1176
Meridian, ID 836801176
Authorized official
Jason Fletcher
President
📞 2083767298
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Michelle Rick Nurse Practitioner NPI 1689482648
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
AUTUMN RIDGE MEDICAL GROUP
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.