Madison Co Memorial Hospital

NPI #1134592017 in Rexburg, Idaho

Provider Information

NPI Number: 1134592017
Entity Type: Organization
Organization Name: Madison Co Memorial Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: MADISON CO MEMORIAL HOSPITAL
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2015
Last Updated: Oct 23, 2023

Practice Location

Address: 393 E 2ND N
City: Rexburg
State: Idaho
ZIP Code: 83440-1605
Phone: (208) 356-5401

Authorized Official

Name: RACHEL GONZALES, DM, RN, RODP
Title: CHIEF EXECUTIVE OFFICER
Phone: (208) 359-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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