Autumn Ridge Medical Group

LBN: Shh Medical Group Llc
Autumn Ridge Medical Group is an health care organization with primary practice located at 1221 W Ironwood Dr Ste 102 , Coeur D Alene ID 83814-1402. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Shh Medical Group Llc can be contacted via phone (208) 665-8111, or through Fletcher, Jason via phone (208) 376-7298.

Contact Information

Primary practice address
1221 W Ironwood Dr Ste 102 Coeur D Alene ID 83814-1402
Fax: (208) 665-8112
Website:
Authorized official contact:
Name: Fletcher, Jason

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1740844885
LBN Legal business name Shh Medical Group Llc
DBA Doing business as Autumn Ridge Medical Group
Authorized official Fletcher, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2019
Last updated Jun 26th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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