MADISON CO MEMORIAL HOSPITAL NPI 1477122570

NPI Information

MADISON CO MEMORIAL HOSPITAL is a psychiatric/mental health nurse practitioner in Rexburg, ID. MADISON CO MEMORIAL HOSPITAL NPI is 1477122570. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Madison Memorial Behavioral Health Clinic.

The provider's business location address is:

37 S 2ND E
REXBURG, ID
ZIP 83440-906
Phone: (208) 356-0234

The provider's authorized official is Rachel Gonzales .
The authorized official title is Chief Executive Officer and has the following contact phone number (208) 359-6900.

The enumeration date for this NPI number is 6/22/2021 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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