# REXBURG MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114010782
- **Authorized official:** MRS. MARY ZOLLINGER (ADMINISTRATOR)
- **Authorized official phone:** (208) 356-5401

## Contact information

- **Practice address:** 393 E 2ND N, REXBURG, ID 83440
- **Practice address phone:** (208) 356-5401
- **Practice address fax:** (208) 356-3111
- **Mailing address:** 393 E 2ND N, REXBURG, ID 83440
- **Mailing address phone:** (208) 356-5401
- **Mailing address fax:** (208) 356-3111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M4211 | ID | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020