NPIMap

Organization Active NPI

Madison Co Memorial Hospital

  • Psychiatric Hospital Unit
  • Rexburg, ID
National Provider Identifier
1932864642
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
MADISON CO MEMORIAL HOSPITAL
Practice address
450 E Main St
Rexburg, ID 83440-2048
Phone
(208) 359-6900
NPI assigned
Nov 8, 2021
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MADISON CO MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Rachel Gonzales, DM, RN, RODP
Title
Chief Executive Officer
Phone
(208) 359-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X NU Primary

Addresses

Primary practice location

450 E Main St
Rexburg, ID 83440-2048

Mailing address

PO Box 700
Rexburg, ID 83440-0700
Phone (208) 359-6900

Other names 1

  • Madison Memorial Behavioral Health Unit Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210728003542 ID Part A Provider - Hospital 8123016367 1 other NPI on this enrollment
Practice locations: Rexburg, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932864642. Details of each certification follow.

Hospital certification: CCN 13S025

Legal name
MADISON CO MEMORIAL HOSPITAL
Doing business as
MADISON MEMORIAL HOSPITAL
Organization structure
OtherProprietary
Enrollment address
450 E Main St
Rexburg, ID 83440-2048
Other Hospital Practice Location
Hospital subgroups
Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Madison Co Memorial Hosp5 organizations share this tax ID, including this one
Part of
Madison Co Memorial Hosp

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Troy Christensen Individual Corporate OfficerCfo Aug 1, 2013
W-2 Managing EmployeeCfo Aug 1, 2013
Madison Co Memorial Hospital Organization, Rexburg, ID Other Jul 1, 1966

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Madison Carriage Cove Short Term RehabilitationRexburg, ID, CCN 135140 Skilled nursing facility 5% Or Greater Direct Ownership Interest (50%)
General Partnership Interest (50%)
Operational/Managerial Control
Adp of the SNF
Direct Ownership Interest (50%)		 Oct 1, 2017
Oct 1, 2017
Oct 1, 2017
Oct 1, 2017
Oct 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1932864642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834400700",
            "telephone_number": "208-359-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E MAIN ST",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834402048",
            "telephone_number": "208-359-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON CO MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MADISON CO MEMORIAL HOSPITAL",
        "enumeration_date": "2021-11-08",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "208-359-6900",
        "authorized_official_credential": "DM, RN, RODP"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Memorial Behavioral Health Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Madison Memorial Behavioral Health Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.