Madison Co Memorial Hospital
NPI #1477122570 in Rexburg, Idaho
Provider Information
- NPI Number
- 1477122570
- Entity Type
- Organization
- Organization Name
- Madison Co Memorial Hospital
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MADISON CO MEMORIAL HOSPITAL
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jun 22, 2021
- Last Updated
- Feb 2, 2026
Practice Location
Authorized Official
- Name
- JAIME TANNER
- Title
- AMBULATORY REVENUE MANAGER
- Phone
- (208) 359-7682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Social Worker |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
Additional Practice Locations
37 S 2nd E
Rexburg, ID, 83440-1906
(208) 356-0234
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