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
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
02/02/2026
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