Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madison Co Memorial Hospital

Organization Family Medicine Physician · NPI 1134592017

Madison Co Memorial Hospital is a Family Medicine Physician in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015
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Practice location Address checks out

393 E 2nd N
Rexburg, ID 83440-1605
Phone: (208) 356-5401
Fax: (208) 356-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40 (ID)

Record details

NPI number1134592017
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMadison Co Memorial Hospital
Authorized official Rachel Gonzales — Chief Executive Officer · (208) 359-6900
Other names Madison Memorial Rexburg Medical Clinic; Madison Memorial Rexburg Medical Clinic
NPI enumeratedNovember 2, 2015
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023
Mailing address393 E 2nd N, Rexburg, ID 83440-1605

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