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MADISON CO MEMORIAL HOSPITAL NPI 1134592017


NPI Information

NPI: 1134592017
Provider Name: MADISON CO MEMORIAL HOSPITAL

Doing Business As: MADISON MEMORIAL REXBURG MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
393 E 2ND N
REXBURG, ID
ZIP 83440
Phone: (208) 356-5401
Get Directions

MADISON CO MEMORIAL HOSPITAL is a family medicine in Rexburg, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MADISON CO MEMORIAL HOSPITAL NPI is 1134592017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Madison Memorial Rexburg Medical Clinic.

The provider's business location address is:

393 E 2ND N
REXBURG, ID
ZIP 83440-605
Phone: (208) 356-5401
Fax: (208) 356-3111

The provider's authorized official is Troy Christensen .
The authorized official title is Chief Financial Officer and has the following contact phone number (208) 359-9802.

The enumeration date for this NPI number is 11/2/2015 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine40IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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