Madison Co Memorial Hospital
Organization Active NPI Durable Medical Equipment & Medical Supplies · Rexburg, ID
NPI 1760105522 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1760105522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- MADISON CO MEMORIAL HOSPITAL
- Practice address
- 25 Madison Professional Park
Rexburg, ID 83440-2057 - Phone
- (208) 359-1400
- NPI assigned
- Sep 26, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- MADISON CO MEMORIAL HOSPITAL
Authorized official
- Name
- Troy Christensen
- Title
- Chief Financial Officer
- Phone
- (208) 359-6900
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Madison Co Memorial Hosp
- Part of
- Madison Co Memorial Hosp
Locations
25 Madison Professional Park
Rexburg, ID 83440
Phone (208) 359-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
25 Madison Professional Park
Rexburg, ID 83440-2057
Mailing address
PO Box 700
Rexburg, ID 83440-0700
Phone (208) 359-6516
Other names
- Madisonhealth DME
Other providers in Rexburg, ID
- Madison Co Memorial Hospital
- Madison Co Memorial Hospital
- Madison Co Memorial Hospital
- Madison Co Memorial Hospital
- Madison Co Memorial Hospital
- Madison Co Memorial Hospital
- Madison Co Memorial Hospital
- Madison Ear Nose and Throat Clinic
- Madison Foot & Ankle Care, PA
- Madison General Surgery Clinic
All providers in Rexburg, ID · Durable Medical Equipment & Medical Supplies in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.