Organization
MADISON CO MEMORIAL HOSPITAL
Active
Parent organization
MADISON CO MEMORIAL HOSPITAL
Other names
Madison Memorial Behavioral Health Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON CO 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) 359-6900
Mailing address
PO BOX 700, REXBURG, ID 83440-0700
(208) 359-6900
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
10/23/2023
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