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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

NPI1316460264
StatusActive
Entity typeOrganization (subpart)
Parent organizationMadison Co Memorial Hospital
NPI issuedJul 24, 2017
Last updated in NPPESMar 9, 2023
Certified by providerMar 9, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physiological Laboratory Primary293D00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years