NPI age
8 years
Enumerated 2017-07-24
● Active Type 2 · Organization
Subpart
Madison Co Memorial Hospital
Madison Co Memorial Hospital is 1 of 9 physiological laboratory organizations in Idaho.
Primary specialty
Physiological Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Christensen
Chief Financial Officer
Last NPPES update
2023-03-09
Source: monthly bulk 2026-05
How this organization compares
Across 9 active physiological laboratory providers in Idaho.
NPI age
8 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-07Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
255 N 3rd E Ste 200
Rexburg, ID 834401629
Mailing address
Po Box 700
Rexburg, ID 834400700
Authorized official
Troy Christensen
Chief Financial Officer
📞 2083599802
Specialties
-
Physiological Laboratory PrimaryA laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Madison Memorial Outpatient Services
-
Madison Memorial Outpatient Services
Practice context
Single-site organization. Only one practice location on file.
Subpart of Madison Co Memorial Hospital.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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