Madison Memorial Behavioral Health Clinic

LBN: Madison Co Memorial Hospital
Madison Memorial Behavioral Health Clinic is an health care organization with primary practice located at 37 S 2Nd E , Rexburg ID 83440-1906. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Madison Co Memorial Hospital can be contacted via phone (208) 356-0234, or through Gonzales, Rachel via phone (208) 359-6900.

Contact Information

Primary practice address
37 S 2Nd E Rexburg ID 83440-1906
Phone: (208) 356-0234
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Rachel DM, RN, RODP
Phone: (208) 359-6900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1477122570
LBN Legal business name Madison Co Memorial Hospital
DBA Doing business as Madison Memorial Behavioral Health Clinic
Authorized official Gonzales, Rachel DM, RN, RODP
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2021
Last updated Oct 23rd, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers