Organization
MADISON CO MEMORIAL HOSPITAL
Active
Parent organization
MADISON CO MEMORIAL HOSPITAL
Other names
Madison Memorial Outpatient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON CO MEMORIAL HOSPITAL
Authorized official
TROY CHRISTENSEN (CHIEF FINANCIAL OFFICER)
(208) 359-9802
Entity
Organization
Contact information
Practice address
255 N 3RD E STE 200, REXBURG, ID 83440-1629
(208) 359-6516
Mailing address
PO BOX 700, REXBURG, ID 83440-0700
(208) 359-6516
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
03/09/2023
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