MADISON MEMORIAL HOSPITAL
NPI 1346643038
Clinic/Center - Multi-Specialty in Rexburg, ID
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
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madison Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Madison Memorial Hospital, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 31Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, IDFrequently 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.
Is Madison Memorial Hospital enrolled in Medicare?
Yes. Madison Memorial Hospital is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Madison Memorial Hospital?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 8 Medicare specialties reassign their Medicare billing to Madison Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Emergency Medicine (8) and Family Practice (5). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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., Molina Healthcare, Select Health 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 12 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.
# Madison Memorial Hospital · NPI 1346643038
Multi-Specialty organization in Rexburg, Idaho. Organization record, active in the CMS NPPES registry since October 8, 2014.
## Identity
- **NPI:** 1346643038 (Entity type: Organization)
- **Enumerated:** October 8, 2014
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Madison Clinic Physicians (Doing Business As)
- **Organization subpart:** Yes (part of Madison Memorial Hospital)
- **Authorized official:** Rachel Gonzales, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 450 E MAIN ST, Rexburg, ID 83440-2048
- **Phone:** (208) 359-6419 · **Fax:** (208) 359-6915
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Emergency Medicine (8), Family Practice (5); 6 practice at this address and 10 within 10 miles; [full list](https://npiprofile.com/npi/1346643038/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 24, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346643038) · Data from the CMS NPPES public registry.