NPI age
19 years
Enumerated 2006-06-11
● Active Type 2 · Organization
Madison Co Memorial Hospital
Madison Co Memorial Hospital is 1 of 70 general acute care hospital organizations in Idaho.
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gonzales
Chief Executive Officer
Last NPPES update
2026-02-02
Source: monthly bulk 2026-05
How this organization compares
Across 70 active general acute care hospital providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
450 E. Main
Rexburg, ID 83440
Mailing address
450 E Main St
Rexburg, ID 834402048
Authorized official
Rachel Gonzales, DM, RN, RODP
Chief Executive Officer
📞 2083596900
Specialties
-
General Acute Care Hospital PrimaryAn acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 00109 | BLUE CROSS OF IDAHO |
| 05 (ID) | 002855700 | |
| 05 (ID) | 2855700 | |
| 01 (ID) | 000010006291 | REGENCE BLUE SHIELD OF ID |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Madison Memorial Hospital
Practice context
Single-site organization. Only one practice location on file.
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