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Madison Co Memorial Hospital

Family Medicine·Rexburg, ID· NPI 1134592017 · Enumerated 2015 · 10 years on NPI
Madison Co Memorial Hospital is 1 of 1691 family medicine organizations in Idaho.
NPI age
10 years
Enumerated 2015-11-02
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gonzales
Chief Executive Officer
Last NPPES update
2023-10-23
Source: monthly bulk 2026-05

How this organization compares

Across 1691 active family medicine providers in Idaho.

NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-11Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
393 E 2nd N
Rexburg, ID 834401605
📞 2083565401fax 2083563111
Mailing address
393 E 2nd N
Rexburg, ID 834401605
📞 2083565401fax 2083563111

Authorized official

Rachel Gonzales, DM, RN, RODP
Chief Executive Officer
📞 2083596900

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Allopathic & Osteopathic Physicians › Family Medicine
  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #40 taxonomy 207Q00000X

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Madison Memorial Rexburg Medical Clinic
    Type code 3 recorded 2020-02-21
  • Madison Memorial Rexburg Medical Clinic
    Type code 3 recorded 2015-11-03

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

Subpart of Madison Co Memorial Hospital.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related

Family Medicine organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide