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Organization

MADISON CO MEMORIAL HOSPITAL

Active
Parent organization
MADISON C O MEMORIAL HOSPITAL
Other names
Madison Foot and Ankle
Organization subpart
Yes

Provider details

NPI number
Legal business name
MADISON C O MEMORIAL HOSPITAL
Authorized official
RACHEL GONZALES DM, RN, RODP (CHIEF EXECUTIVE OFFICER)
(208) 359-6900
Entity
Organization

Contact information

Practice address
25 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 359-1400
Mailing address
PO BOX 700, REXBURG, ID 83440-0700
(208) 359-6516

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
09/07/2022
Last updated
03/05/2026
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