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SHH Medical Group Idaho, LLC

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Company Details

Name: SHH Medical Group Idaho, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 20 Feb 2019 (6 years ago)
Financial Date End: 28 Feb 2025
Date dissolved: 09 Jan 2025
Entity Number: 3433410
Place of Formation: IDAHO
File Number: 655442
ZIP code: 83646
County: Ada County
Principal Address: JASON FLETCHER 4334 N BRIGHT ANGEL AVE MERIDIAN, ID 83646
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 PO BOX 1176, MERIDIAN, ID 83680-1176 2021-02-09

National Provider Identifier

NPI Number:
1972165579

Authorized Person:

Name:
JASON FLETCHER
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2083778310
Fax:
2083760269

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0006034569 2025-01-09
Annual Report 0005562459 2024-01-15
Annual Report 0005052642 2023-01-04
Annual Report 0004708261 2022-04-20
Annual Report 0004169332 2021-02-09

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State