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SHH Medical Group, LLC

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Company Details

Name: SHH Medical Group, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Dec 2018 (6 years ago)
Financial Date End: 31 Dec 2021
Date dissolved: 23 Mar 2022
Entity Number: 3383681
Place of Formation: IDAHO
File Number: 648379
Principal Address: JASON FLETCHER 4334 N BRIGHT ANGEL AVE MERIDIAN, ID 83680
Mailing Address: JASON FLETCHER PO BOX 1176 MERIDIAN, ID 83680-1176

Agent

Name Role Address
SYNERGY HEALTHCARE HOLDINGS, LLC Agent 4334 N BRIGHT ANGEL AVE, MERIDIAN, ID 83646

Member

Name Role Address Appointed On
SYNERGY HEALTHCARE HOLDINGS, LLC Member 4334 N. BRIGHT ANGEL AVE, MERIDIAN, ID 83646 2020-12-03

National Provider Identifier

NPI Number:
1740844885

Authorized Person:

Name:
JASON FLETCHER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083778310
Fax:
2086658112

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004668484 2022-03-23
Annual Report 0004083969 2020-12-03
Annual Report 0003659001 2019-10-31
Initial Filing 0003383681 2018-12-28

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State