| Shh Medical Group North Idaho, Llc | |
|
1221 W Ironwood Dr Ste 102 Coeur D Alene ID 83814-1402 | |
| (208) 773-7731 | |
| (208) 665-8112 |
| Full Name | Shh Medical Group North Idaho, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1221 W Ironwood Dr Ste 102, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Jason Fletcher (PRESIDENT) |
| Authorized Official Contact | 2083767298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shh Medical Group North Idaho, Llc Po Box 1176 Meridian ID 83680-1176 Ph: (208) 376-7298 | Shh Medical Group North Idaho, Llc 1221 W Ironwood Dr Ste 102 Coeur D Alene ID 83814-1402 Ph: (208) 773-7731 |
| NPI Number | 1679103485 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679103485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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