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Madison Co Memorial Hospital

NPI 1942107826ActiveOrganization· Family Medicine· Rexburg, ID

Family Medicine in Rexburg, Idaho, registered in NPPES in October 2026, part of Madison Co Memorial Hospital. The authorized official on file is Rachel Gonzales, DM, RN, RODP, Chief Executive Officer.

Overview

NPI1942107826
StatusActive
Entity typeOrganization (subpart)
Parent organizationMadison Co Memorial Hospital
NPI issuedOct 22, 2026
Last updated in NPPESOct 22, 2026
Certified by providerOct 22, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

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

Other Family Medicine providers in Rexburg

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