Madison Co Memorial Hospital

NPI #1730800897 in Rexburg, Idaho

Provider Information

NPI Number: 1730800897
Entity Type: Organization
Organization Name: Madison Co Memorial Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: MADISON C O MEMORIAL HOSPITAL
Primary Specialty: Podiatrist
Enumeration Date: Sep 7, 2022
Last Updated: Oct 23, 2023

Practice Location

Address: 25 MADISON PROFESSIONAL PARK
City: Rexburg
State: Idaho
ZIP Code: 83440-2057
Phone: (208) 359-1400

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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