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Organization
MADISON CO MEMORIAL HOSPITAL
Active
Organization
MADISON CO MEMORIAL HOSPITAL
Active
Parent organization
MADISON CO MEMORIAL HOSPITAL
Other names
Seasons Medical By Madison Memorial
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON CO MEMORIAL HOSPITAL
Authorized official
RACHEL GONZALES DM, RN, RODP (CHIEF EXECUTIVE OFFICER)
(208) 359-6900
Entity
Organization
Contact information
Practice address
37 S 2ND E, REXBURG, ID 83440-1906
(208) 356-0234
Mailing address
37 S 2ND E, REXBURG, ID 83440-1906
(208) 656-8454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
09/30/2019
Last updated
03/05/2026
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