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MADISON MEMORIAL REXBURG MEDICAL CLINIC
NPI 1134592017
Family Medicine in Rexburg, ID

Active since November 02, 2015
393 E 2ND N, REXBURG, ID 83440(208) 356-5401(208) 356-3111 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2023, Feb 21, 2020 (2 updates tracked since 2020).

About Madison Memorial Rexburg Medical Clinic NPPES

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

MADISON MEMORIAL REXBURG MEDICAL CLINIC (NPI 1134592017) is a healthcare organization registered as a family medicine in Rexburg, Idaho and active in the NPI registry since November 2015. The organization lists Rachel Gonzales, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1134592017
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMADISON CO MEMORIAL HOSPITAL
Location Address393 E 2ND NRexburg, ID 83440-1605
Mailing Address393 E 2nd NRexburg, ID 83440-1605 · (208) 356-5401 · Fax (208) 356-3111
Phone(208) 356-5401
Fax(208) 356-3111
Organization SubpartYes
Authorized OfficialRachel GonzalesChief Executive Officer · (208) 359-6900
Enumeration DateNovember 2, 2015
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1134592017 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 · 40
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 Names 1

Doing Business AsMadison Memorial Rexburg Medical Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

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
REXBURG MEDICAL CENTER
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 356-5401
SUSAN B CLARK MS, RD, LD, CDE
Dietitian, Registered
393 E 2ND N
REXBURG, ID 83440
Madison County (208) 356-5401

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 Madison Co Memorial Hospital's NPI number?

The NPI number for Madison Co Memorial Hospital is 1134592017. It was assigned to this organization in the NPPES registry on November 2, 2015. The provider is doing business as Madison Memorial Rexburg Medical Clinic.

Where is Madison Co Memorial Hospital located?

Madison Co Memorial Hospital is located at 393 E 2nd N, Rexburg, ID 83440. The listed phone number is (208) 356-5401.

What is Madison Co Memorial Hospital's specialty?

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

What insurance does Madison Co Memorial Hospital accept?

Health plans from University of Utah Health Plans list Madison Co Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madison Co Memorial Hospital was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.