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

Madison Memorial Hospital

Organization Non-Pharmacy Dispensing Site · NPI 1821342247

Madison Memorial Hospital is a Non-Pharmacy Dispensing Site in Rexburg, Idaho. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

450 E Main St
Rexburg, ID 83440-2048
Phone: (208) 359-6900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1821342247
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMadison Memorial Hospital
Authorized official Dorsie Sullenger — Director Of Pharmacy · (208) 359-6900
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 7, 2012
Mailing address6501 City West Pkwy, Eden Prairie, MN 55344-3248