OrganizationActive
Madison Memorial Hospital
NPI 1346643038 · Multi-Specialty Clinic/Center · Rexburg, ID
Provider details
- NPI number
- 1346643038
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Madison Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Rachel Gonzales, Chief Executive Officer(208) 359-6900
- License
- 40 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
450 E Main St
Rexburg, ID 83440-2048
Phone: (208) 359-6419
Fax: (208) 359-6915
Street-level locationGet directions
Mailing address
Po Box 130
Rexburg, ID 83440-0130
Other names (DBA / former)
- Doing business as
- Madison Clinic Physicians
- Doing business as
- Madison Clinic Physicians
Registry dates
- Enumerated
- 2014-10-08
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.