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SHH MEDICAL GROUP NORTH IDAHO, LLC

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Company Details

Name: SHH MEDICAL GROUP NORTH IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 05 Apr 2019 (6 years ago)
Financial Date End: 30 Apr 2025
Date dissolved: 09 Jan 2025
Entity Number: 3472310
Place of Formation: IDAHO
File Number: 661264
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 2021-05-05

National Provider Identifier

NPI Number:
1679103485
Certification Date:
2020-01-21

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
Statement of Dissolution 0006034572 2025-01-09
Annual Report 0005630689 2024-03-04
Annual Report 0005133337 2023-03-03
Annual Report 0004733716 2022-05-04
Annual Report 0004273502 2021-05-05

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State