Madison Co Memorial Hospital
NPI 1316460264ActiveOrganization· Physiological Laboratory· Rexburg, ID
Physiological Laboratory in Rexburg, Idaho, registered in NPPES in July 2017, part of Madison Co Memorial Hospital. The authorized official on file is Troy Christensen, Chief Financial Officer.
Overview
| NPI | 1316460264 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Madison Co Memorial Hospital |
| NPI issued | Jul 24, 2017 |
| Last updated in NPPES | Mar 9, 2023 |
| Certified by provider | Mar 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|