Organization
MADISON MEMORIAL HOSPITAL
Active
Parent organization
MADISON MEMORIAL HOSPITAL
Other names
Madison Clinic Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON MEMORIAL HOSPITAL
Authorized official
RACHEL GONZALES DM, RN, RODP (CHIEF EXECUTIVE OFFICER)
(208) 359-6900
Entity
Organization
Contact information
Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 359-6419
(208) 359-6915
Mailing address
PO BOX 130, REXBURG, ID 83440-0130
(208) 359-6419
(208) 359-6915
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
40
ID
Other
Enumeration date
10/08/2014
Last updated
10/24/2025
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