MADISON CO MEMORIAL HOSPITAL NPI 1073154266

NPI Information

MADISON CO MEMORIAL HOSPITAL is an obstetrics gynecology in Rexburg, ID. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MADISON CO MEMORIAL HOSPITAL NPI is 1073154266. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Seasons Medical By Madison Memorial.

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 Joseph Troy Christensen .
The authorized official title is Cfo and has the following contact phone number (208) 359-9802.

The enumeration date for this NPI number is 9/30/2019 and was last updated on 2/21/2020.

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:

Other Identifiers

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