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REXBURG MEDICAL CENTER
NPI 1114010782
Family Medicine in Rexburg, ID

Active since October 02, 2006CLIA 13D0521010 · Certificate of Compliance
393 E 2ND N, REXBURG, ID 83440(208) 356-5401(208) 356-3111 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rexburg Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REXBURG MEDICAL CENTER (NPI 1114010782) is a healthcare organization registered as a family medicine in Rexburg, Idaho and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 10, 2027 and lists Mary Zollinger, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114010782
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameREXBURG MEDICAL CENTER
Location Address393 E 2ND NRexburg, ID 83440
Mailing Address393 E 2nd NRexburg, ID 83440 · (208) 356-5401 · Fax (208) 356-3111
Phone(208) 356-5401
Fax(208) 356-3111
Organization SubpartNo
Authorized OfficialMary ZollingerAdministrator · (208) 356-5401
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114010782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ID · M4211
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
393 E 2ND N, Rexburg, ID 83440
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Other Identifiers 2

Other29920ID · Blue Shield Of Idaho
Other8981-3ID · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 13D0521010

Rexburg Medical Center · Rexburg, ID
Active · expires Aug 10, 2027
CLIA Number13D0521010
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorMatt Tannenbaum
Laboratory Phone(208) 356-5401
Laboratory LocationRexburg Medical Center393 E 2nd North, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DILLON RHET MERRILL MOTRL
Occupational Therapist
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 354-9570
ADRIANN J WILCOX FNP
Nurse Practitioner
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 356-5401
COREY T RAMMELL MD
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 356-3691
MRS. SHARON JOYCE REASER MFTI
Marriage & Family Therapist
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 359-4840
MR. JEFFREY D. ANDERSON MS, CCC-SLP
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 359-9570
MS. GAIL ANN KISLING M.S., CCC-SLP
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 359-9570
SUSAN B CLARK MS, RD, LD, CDE
Dietitian, Registered
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 356-5401
CENTERPOINT COUNSELING SERVICES, LLC
Community/Behavioral Health
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 359-4840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rexburg Medical Center's NPI number?

The NPI number for Rexburg Medical Center is 1114010782. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Rexburg Medical Center located?

Rexburg Medical Center is located at 393 E 2nd N, Rexburg, ID 83440. The listed phone number is (208) 356-5401.

What is Rexburg Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Rexburg Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0521010) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rexburg Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.