Madison Clinic Physicians

LBN: Madison Memorial Hospital
Madison Clinic Physicians is an health care organization with primary practice located at 450 E Main St , Rexburg ID 83440-2048. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Madison Memorial Hospital can be contacted via phone (208) 359-6419, or through Gonzales, Rachel via phone (208) 359-6900.

Contact Information

Primary practice address
450 E Main St Rexburg ID 83440-2048
Phone: (208) 359-6419
Fax: (208) 359-6915
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Rachel DM, RN, RODP
Phone: (208) 359-6900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 40 Idaho

Profile Details

NPI number 1346643038
LBN Legal business name Madison Memorial Hospital
DBA Doing business as Madison Clinic Physicians
Authorized official Gonzales, Rachel DM, RN, RODP
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 8th, 2014
Last updated Oct 23rd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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