Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Co Memorial Hospital

Organization Family Medicine Physician · NPI 1134592017

Madison Co Memorial Hospital provides Family Medicine Physician services in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

393 E 2nd N
Rexburg, ID 83440-1605
Phone: (208) 356-5401
Fax: (208) 356-3111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40 (ID)

Record details

NPI number1134592017
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMadison Co Memorial Hospital
Authorized official Rachel Gonzales — Chief Executive Officer · (208) 359-6900
Other names Madison Memorial Rexburg Medical Clinic; Madison Memorial Rexburg Medical Clinic
NPI enumeratedNovember 2, 2015
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address393 E 2nd N, Rexburg, ID 83440-1605

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