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Madison Co Memorial Hospital

Nurse Practitioner·Rexburg, ID· NPI 1477122570 · Enumerated 2021 · 4 years on NPI
Madison Co Memorial Hospital is 1 of 374 nurse practitioner organizations in Idaho.
NPI age
4 years
Enumerated 2021-06-22
Primary specialty
Nurse Practitioner
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Tanner
Ambulatory Revenue Manager
Last NPPES update
2026-02-02
Source: monthly bulk 2026-05

How this organization compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
4 years
≈ at median (4 yr)
Practice locations
2
1 secondary on file
Subspecialties
2
In the 34% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
393 E 2nd N
Rexburg, ID 834401605
📞 2083596498fax 2084484702
Mailing address
Po Box 130
Rexburg, ID 834400130

Additional practice locations

1 secondary location on file with NPPES.

Location 2
37 S 2nd E
Rexburg, ID 834401906
📞 2083560234

Authorized official

Jaime Tanner
Ambulatory Revenue Manager
📞 2083597682

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Nurse Practitioner
  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X
  • Psychiatry & Neurology
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    taxonomy 2084P0800X
  • Social Worker
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    taxonomy 104100000X

Other names on file (2)

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

  • Madisonhealth Psychiatry and Counseling
    Type code 3 recorded 2026-02-02
  • Madison Memorial Behavioral Health Clinic
    Type code 3 recorded 2023-10-23

Practice context

Multi-provider organization. 20 individual providers on file at this primary address. Plus 1 secondary practice location.

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

Nurse Practitioner organizations in Idaho
→ Idaho hub
About this specialty
→ Specialty guide