MADISON MEMORIAL HOSPITAL
NPI 1346643038
Clinic/Center - Multi-Specialty in Rexburg, ID
NPI Status: Active since October 08, 2014
Contact Information
450 E MAIN ST
REXBURG, ID
ZIP 83440
Phone: (208) 359-6419
Fax: (208) 359-6915
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 13D0521001
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-23-2027
About MADISON MEMORIAL HOSPITAL
This page provides the complete NPI Profile along with additional information for Madison Memorial Hospital, a provider established in Rexburg, Idaho operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1346643038 assigned on October 2014. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's
- NPI
- 1346643038
- Provider Legal Name
- MADISON MEMORIAL HOSPITAL
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 450 E MAIN ST REXBURG, ID 83440
- Location Phone
- (208) 359-6419
- Location Fax
- (208) 359-6915
- Mailing Address
- PO BOX 130 REXBURG, ID 83440
- Mailing Phone
- (208) 359-6419
- Mailing Fax
- (208) 359-6915
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-08-2014
- Last Update Date
- 10-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | 40 (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Select Alaska Bronze 6500 - PPO
- Moda Select Alaska Bronze HDHP 5500 - PPO
- Moda Select Alaska Gold 1500 - PPO
- Moda Select Alaska Silver 4500 - PPO
- Moda Select Alaska Standard Bronze - PPO
- Moda Select Alaska Standard Gold - PPO
- Moda Select Alaska Standard Silver - PPO
- Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
- Moda Select Texas Bronze HDHP 7500 - EPO
- Moda Select Texas Standard Bronze - EPO
- Moda Select Texas Standard Gold - EPO
- Moda Select Texas Standard Silver - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D0521001
- Facility Type
- Hospital
- Certificate Effective Date
- March 24, 2025
- Certificate Expiration Date
- March 23, 2027
- Laboratory Director
- GABRIELLE TEERMAN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Madison Memorial Hospital after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1346643038, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
REXBURG, ID 83440
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346643038, enumerated as an "organization" on October 08, 2014.
The provider is located at 450 E MAIN ST REXBURG, ID 83440 and the phone number is (208) 359-6419.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Moda Health Plan, Inc. and University of Utah. Please consult your insurance carrier or call the provider to verify.
