Madison Co Memorial Hospital
NPI 1477122570 · Psychiatric/Mental Health Nurse Practitioner · Rexburg, ID
Madison Co Memorial Hospital is a Psychiatric/Mental Health Nurse Practitioner organization in Rexburg, ID (NPI 1477122570).
Provider details
- NPI number
- 1477122570
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Madison Co Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Jaime Tanner, Ambulatory Revenue Manager(208) 359-7682
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Social Worker104100000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Madison Memorial Behavioral Health Clinic
- Doing business as
- Madisonhealth Psychiatry and Counseling
Additional practice locations (1)
- 37 S 2nd ERexburg, ID 83440-1906Phone: (208) 356-0234
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Frequently asked questions
- What is Madison Co Memorial Hospital's NPI number?
- Madison Co Memorial Hospital's National Provider Identifier (NPI) is 1477122570, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Madison Co Memorial Hospital?
- Madison Co Memorial Hospital is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Madison Co Memorial Hospital located?
- Madison Co Memorial Hospital's practice location on file with NPPES is 393 E 2nd N, Rexburg, ID 83440-1605.
- What is Madison Co Memorial Hospital's phone number?
- The practice phone number listed in the NPPES registry for Madison Co Memorial Hospital is (208) 359-6498.
- Who is the authorized official for Madison Co Memorial Hospital?
- The authorized official listed on Madison Co Memorial Hospital's NPPES record is Jaime Tanner, Ambulatory Revenue Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Madison Co Memorial Hospital's NPI active?
- Yes — Madison Co Memorial Hospital's NPI (1477122570) is active in the NPPES registry as of the last update on 2026-02-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.