Madison Memorial Hospital

LBN: Madison Memorial Hospital
Madison Memorial Hospital 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 Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Madison Memorial Hospital can be contacted via phone (208) 359-6900, or through Sullenger, Dorsie via phone (208) 359-6900.

Contact Information

Primary practice address
450 E Main St Rexburg ID 83440-2048
Phone: (208) 359-6900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sullenger, Dorsie RPH
Phone: (208) 359-6900

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1821342247
LBN Legal business name Madison Memorial Hospital
DBA Doing business as
Authorized official Sullenger, Dorsie RPH
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 7th, 2012
Last updated Nov 7th, 2012 - about 12 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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