Organization
MADISON CO MEMORIAL HOSPITAL
Active
Organization
MADISON CO MEMORIAL HOSPITAL
Active
Parent organization
MADISON CO MEMORIAL HOSPITAL
Other names
Madison Memorial Behavioral Health Clinic, Madisonhealth Psychiatry and Counseling
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON CO MEMORIAL HOSPITAL
Authorized official
JAIME TANNER (AMBULATORY REVENUE MANAGER)
(208) 359-7682
Entity
Organization
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440-1605
(208) 359-6498
(208) 448-4702
Mailing address
PO BOX 130, REXBURG, ID 83440-0130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/22/2021
Last updated
07/29/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up