Madison Co Memorial Hospital
NPI 1073154266ActiveOrganization· Obstetrics & Gynecology· Rexburg, ID
Obstetrics & Gynecology in Rexburg, Idaho, registered in NPPES in September 2019, part of Madison Co Memorial Hospital. The authorized official on file is Rachel Gonzales, DM, RN, RODP, Chief Executive Officer.
Overview
| NPI | 1073154266 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Madison Co Memorial Hospital |
| NPI issued | Sep 30, 2019 |
| Last updated in NPPES | Mar 5, 2026 |
| Certified by provider | Mar 5, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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