MADISON MEMORIAL HOSPITAL is a non pharmacy dispensing site in Rexburg, ID. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MADISON MEMORIAL HOSPITAL NPI is 1821342247. The provider is registered as an organization entity type.
The provider's business location address is:
450 E MAIN ST
REXBURG, ID
ZIP 83440-048
Phone: (208) 359-6900
The provider's authorized official is Dorsie Sullenger .
The authorized official title is Director Of Pharmacy and has the following contact phone number (208) 359-6900.
The CLIA number assigned to this NPI record is 13D0521001 - hospital with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 11/7/2012 and was last updated on 11/7/2012.