MADISON MEMORIAL REXBURG MEDICAL CLINIC
NPI 1134592017
Family Medicine in Rexburg, ID

NPI Status: Active since November 02, 2015

Contact Information

393 E 2ND N
REXBURG, ID
ZIP 83440
Phone: (208) 356-5401
Fax: (208) 356-3111

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  • Organization
  • Family Medicine
  • Accepts Insurance

About MADISON MEMORIAL REXBURG MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Madison Memorial Rexburg Medical Clinic, a primary care provider established in Rexburg, Idaho operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1134592017 assigned on November 2015. The practitioner's primary taxonomy code is 207Q00000X with license number 40 (ID). The provider is registered as an organization and their NPI record was last updated 2 years ago. Madison Memorial Rexburg Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Madison Memorial Rexburg Medical Clinic. The authorized official of this NPI record is Rachel Gonzales Dm, Rn, Rodp (Chief Executive Officer)

NPI
1134592017
Provider Legal Name
MADISON CO MEMORIAL HOSPITAL
Other Organization Name
MADISON MEMORIAL REXBURG MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
393 E 2ND N REXBURG, ID 83440
Location Phone
(208) 356-5401
Location Fax
(208) 356-3111
Mailing Address
393 E 2ND N REXBURG, ID 83440
Mailing Phone
(208) 356-5401
Mailing Fax
(208) 356-3111
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-02-2015
Last Update Date
10-23-2023
Code Navigator

A primary care provider (PCP) like Madison Memorial Rexburg Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
40
License State
ID
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay - EPO
  • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHEL GONZALES DM, RN, RODP

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(208) 359-6900

Reviews for MADISON MEMORIAL REXBURG MEDICAL CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134592017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164109402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 9 + 4 + 0 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1134592017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982770277MR. MATTHEW DAYBELL
Individual
Occupational Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1063684421MR. JEFFREY D. ANDERSON MS, CCC-SLP
Individual
Speech-Language Pathologist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1578897229MRS. REBECCA JEAN WILSON M.S., CCC-SLP
Individual
Speech-Language Pathologist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1629300173 JEFFERY MICHAEL CLIFT MOT
Individual
Occupational Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9580
1275852980 STEVEN G SJOBLOM CCC-SLP
Individual
Speech-Language Pathologist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1518212265 DAVID PORTER BATT PA
Individual
Physician Assistant393 E 2ND N
REXBURG, ID 83440
(208) 359-4841
1265773337MRS. WENDY MARIE KILLIAN RD LD
Individual
Dietitian, Registered393 E 2ND N
REXBURG, ID 83440
(208) 356-5401
1710321385MRS. KIMBERLY J KERSHAW CCC-SLP
Individual
Speech-Language Pathologist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1639518681 TIFFANY NUDCHA BURGESS
Individual
Physical Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1003256256 DILLON RHET MERRILL MOTRL
Individual
Occupational Therapist393 E 2ND N
REXBURG, ID 83440
(208) 354-9570
1669599031REHAB & INDUSTRIAL SERVICES, LLP
Organization
Physical Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1063787885MS. GAIL ANN KISLING M.S., CCC-SLP
Individual
Speech-Language Pathologist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1225446354 DALYNN N MOORE MC, LPC
Individual
Counselor (Mental Health)393 E 2ND N
REXBURG, ID 83440
(208) 359-4840
1154728426 CODY LANE CASTELLAW DPT
Individual
Physical Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1154618601 REBECCA L PEREZ PA-C
Individual
Physician Assistant393 E 2ND N
REXBURG, ID 83440
(208) 356-5401
1497203798 BRIGHAM BICE P.T.
Individual
Physical Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1184166886MR. TYSON TONY ROTHWELL MOTR/L
Individual
Occupational Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1194173344 JESSICA PORTER COOK
Individual
Occupational Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1790046829 SARA EMILY CARTER SLP
Individual
Speech-Language Pathologist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570
1861631020 BRIAN KINGSFORD OT
Individual
Occupational Therapist393 E 2ND N
REXBURG, ID 83440
(208) 359-9570

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134592017, enumerated in the NPI registry as an "organization" on November 02, 2015

The provider is located at 393 E 2nd N Rexburg, Id 83440 and the phone number is (208) 356-5401

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Mountain Health CO-OP and University of Utah. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 02, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.