| Madison Co Memorial Hospital | |
|
393 E 2nd N Rexburg ID 83440-1605 | |
| (208) 356-5401 | |
| (208) 356-3111 |
| Full Name | Madison Co Memorial Hospital |
|---|---|
| Speciality | Family Medicine |
| Location | 393 E 2nd N, Rexburg, Idaho |
| Authorized Official Name and Position | Rachel Gonzales (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2083596900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Co Memorial Hospital 393 E 2nd N Rexburg ID 83440-1605 Ph: (208) 356-5401 | Madison Co Memorial Hospital 393 E 2nd N Rexburg ID 83440-1605 Ph: (208) 356-5401 |
| NPI Number | 1134592017 |
|---|---|
| Provider Enumeration Date | 11/02/2015 |
| Last Update Date | 10/23/2023 |
| Medicare PECOS PAC ID | 8123016367 |
|---|---|
| Medicare Enrollment ID | O20040505000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134592017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 40 (Idaho) | Primary |
| Provider Name | Corey T Rammell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013008697 PECOS PAC ID: 4789673740 Enrollment ID: I20040506001181 |
| Provider Name | Charles J Zollinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629182282 PECOS PAC ID: 4880683853 Enrollment ID: I20040506001245 |
| Provider Name | Michael Packer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659454734 PECOS PAC ID: 9436142221 Enrollment ID: I20040506001435 |
| Provider Name | Joseph E Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336140664 PECOS PAC ID: 3678588605 Enrollment ID: I20060213000685 |
| Provider Name | Scott Russel Hardy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750329629 PECOS PAC ID: 7810994779 Enrollment ID: I20061107000265 |
| Provider Name | Steven H Lofgran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154524734 PECOS PAC ID: 2860575180 Enrollment ID: I20080212000510 |
| Provider Name | Michael J Larson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518960087 PECOS PAC ID: 0244233351 Enrollment ID: I20080612000590 |
| Provider Name | Robert E Meredith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932311925 PECOS PAC ID: 5698802817 Enrollment ID: I20100513000501 |
| Provider Name | Jack O Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902992837 PECOS PAC ID: 2264564491 Enrollment ID: I20100722000929 |
| Provider Name | Linda R Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558662064 PECOS PAC ID: 9638359458 Enrollment ID: I20110211000365 |
| Provider Name | Eric E Barton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306847819 PECOS PAC ID: 2961527239 Enrollment ID: I20120124000687 |
| Provider Name | Cameron J Codd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912150772 PECOS PAC ID: 6406015080 Enrollment ID: I20120319000206 |
| Provider Name | Jason E Hymas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518196021 PECOS PAC ID: 8729244504 Enrollment ID: I20120723000812 |
| Provider Name | Travis Roy Torngren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508086844 PECOS PAC ID: 1052561016 Enrollment ID: I20140917001167 |
| Provider Name | Brian P Beesley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1205129897 PECOS PAC ID: 1658523287 Enrollment ID: I20140923001377 |
| Provider Name | Marie Horne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881059103 PECOS PAC ID: 3375840929 Enrollment ID: I20160324001541 |
| Provider Name | Matheau G Eysser |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356629885 PECOS PAC ID: 4981836947 Enrollment ID: I20170908003246 |
| Provider Name | Adriann J Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003312489 PECOS PAC ID: 0648526533 Enrollment ID: I20180706002368 |
| Provider Name | Susan Clark |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124676663 PECOS PAC ID: 3476980053 Enrollment ID: I20200318001657 |
| Provider Name | Angela Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851916365 PECOS PAC ID: 4880018266 Enrollment ID: I20200717001259 |
| Provider Name | Suzanne Moore Wilbrecht |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861090219 PECOS PAC ID: 1456768837 Enrollment ID: I20211115001022 |
| Provider Name | Tyler Herchell Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801532106 PECOS PAC ID: 9830578640 Enrollment ID: I20220624002623 |
| Provider Name | James P Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427584762 PECOS PAC ID: 8921351362 Enrollment ID: I20220815003382 |
| Provider Name | James Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790211092 PECOS PAC ID: 4284988460 Enrollment ID: I20220816002627 |
| Provider Name | Colby R Brower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689237752 PECOS PAC ID: 6800120882 Enrollment ID: I20220817002469 |
| Provider Name | Kylee E Schaat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760191340 PECOS PAC ID: 3274904776 Enrollment ID: I20230119003279 |
| Provider Name | Jordan W Crafton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861840274 PECOS PAC ID: 7618390527 Enrollment ID: I20230124002539 |
| Provider Name | Melissa Marie Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659077238 PECOS PAC ID: 2961862735 Enrollment ID: I20230712003238 |
| Provider Name | Cameron Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790065738 PECOS PAC ID: 4385929819 Enrollment ID: I20230725001511 |
| Provider Name | Nicole Lybbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841020518 PECOS PAC ID: 8820518095 Enrollment ID: I20250219001527 |
| Provider Name | Hayley B Grover |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396468641 PECOS PAC ID: 4385164409 Enrollment ID: I20250219003600 |
Northridge Internal Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Professional Plz, Ste-102, Rexburg, ID 83440 Phone: 208-656-8456 Fax: 208-656-8444 | |
Rexburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401 Fax: 208-356-3111 | |
Teton Medical Group Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 32 W 1st S, Rexburg, ID 83440 Phone: 208-356-7585 Fax: 208-356-7566 | |
Seasons Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-0365 | |
Community Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 E Main St, Rexburg, ID 83440 Phone: 208-359-1770 Fax: 208-359-1780 | |
Rexburg Family Medical Center, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Professional Plz, Rexburg, ID 83440 Phone: 208-356-9231 Fax: 208-356-9141 |