Madison Women's Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-481A Issued in ID

Legal business name

MADISON WOMEN'S CLINIC

Practice address

15 Madison Professional Park
Rexburg, ID 83440-2057

Phone

(208) 356-6185

NPI assigned

May 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Iris Garner

Title

Practice Administrator

Phone

(208) 356-6185

Specialties & licenses 1

Addresses

Tax ID family

Madison Women's Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Madison Women's Clinic, PLLC

  • Obstetrics & Gynecology Physician
  • Rexburg, ID
  • NPI 1497824106
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437350139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402057",
            "telephone_number": "208-356-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MADISON PROFESSIONAL PARK",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402057",
            "telephone_number": "208-356-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON WOMEN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "208-356-6185",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-481A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Memorial Hospital
• Madison Park Dental Center
• Madison Park Dental Center PLLC
• Madison Physician Services
• Madison Ridge Chiropractic
• Madison Women's Clinic, PLLC
• Manage With Love LLC
• Martin A Mangan, DO
• Kandi Manley, LCPC
• Talon Gervis Mansfield

• Family Nurse Practitioner in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.