OrganizationActive
Madison Co Memorial Hospital
NPI 1730800897 · Podiatrist · Rexburg, ID
Provider details
- NPI number
- 1730800897
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Madison C O Memorial Hospital
- Organization subpart
- Yes
- Authorized official
- Rachel Gonzales, Chief Executive Officer(208) 359-6900
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
25 Madison Professional Park
Rexburg, ID 83440-2057
Phone: (208) 359-1400
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 700
Rexburg, ID 83440-0700
Other names (DBA / former)
- Doing business as
- Madison Foot and Ankle
- Doing business as
- Madison Foot and Ankle
Additional practice locations (1)
- 477 Pleasant Country LnRigby, ID 83442-5278Phone: (208) 359-9840
Registry dates
- Enumerated
- 2022-09-07
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.