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

Madison Co Memorial Hospital

Organization Clinical Social Worker · NPI 1477122570

Madison Co Memorial Hospital is a Clinical Social Worker in Rexburg, Idaho. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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Practice location Address checks out

393 E 2nd N
Rexburg, ID 83440-1605
Phone: (208) 359-6498
Fax: (208) 448-4702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37 S 2nd E, Rexburg, ID 83440-1906 — (208) 356-0234

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1477122570
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMadison Co Memorial Hospital
Authorized official Jaime Tanner — Ambulatory Revenue Manager · (208) 359-7682
Other names Madison Memorial Behavioral Health Clinic; Madisonhealth Psychiatry And Counseling
NPI enumeratedJune 22, 2021
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing addressPo Box 130, Rexburg, ID 83440-0130

Other providers in Rexburg