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MADISON MEMORIAL HOSPITAL
NPI 1346643038
Clinic/Center - Multi-Specialty in Rexburg, ID

Active since October 08, 2014CLIA 13D0521001 · Certificate of Compliance
450 E MAIN ST, REXBURG, ID 83440(208) 359-6419(208) 359-6915 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

About Madison Memorial Hospital NPPES

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

MADISON MEMORIAL HOSPITAL (NPI 1346643038), doing business as Madison Clinic Physicians, is a healthcare organization registered as a multi-specialty in Rexburg, Idaho and active in the NPI registry since October 2014. The organization holds a CLIA Certificate of Compliance certificate valid through March 23, 2027 and lists Rachel Gonzales, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1346643038
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMADISON MEMORIAL HOSPITAL
Location Address450 E MAIN STRexburg, ID 83440-2048
Mailing AddressPo Box 130Rexburg, ID 83440-0130 · (208) 359-6419 · Fax (208) 359-6915
Phone(208) 359-6419
Fax(208) 359-6915
Organization SubpartYes
Authorized OfficialRachel GonzalesChief Executive Officer · (208) 359-6900
Enumeration DateOctober 8, 2014
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1346643038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 40 (ID)
450 E MAIN ST, Rexburg, ID 83440
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Other Names 1

Doing Business AsMadison Clinic Physicians

Accepted Insurance

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

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 13D0521001

Madison Memorial Hospital Lab · Rexburg, ID
Active · expires Mar 23, 2027
CLIA Number13D0521001
Laboratory TypeHospital
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorGabrielle Teerman
Laboratory Phone(208) 359-6442
Laboratory LocationMadison Memorial Hospital Lab450 E Main St, Rexburg, ID 83440
CLIA data matches this NPI record on: Address Name
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.

BRADLEY SAUNDERS OTR-L
Occupational Therapist
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6532
BRYCE CAMPBELL
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6900
TODD GEHMLICH CRNA
Nurse Anesthetist, Certified Registered
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
KAYLA STEVENSON RN
Registered Nurse (Neonatal Intensive Care)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6900
MR. STEVEN CRAIG PIERCE PA-C
Physician Assistant (Medical)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
MICHAEL ANDERSON D.O.
Emergency Medicine (Emergency Medical Services)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
TROY HANSON NP
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
BEYRON ALEXIS ZECHER FNP-C
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6900

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 Memorial Hospital's NPI number?

The NPI number for Madison Memorial Hospital is 1346643038. It was assigned to this organization in the NPPES registry on October 8, 2014. The provider is doing business as Madison Clinic Physicians.

Where is Madison Memorial Hospital located?

Madison Memorial Hospital is located at 450 E Main St, Rexburg, ID 83440. The listed phone number is (208) 359-6419.

What is Madison Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Madison Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 13D0521001) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Madison Memorial Hospital accept?

Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Madison 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 Memorial Hospital was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.