Organization · Type 2 NPI

Madison Co Memorial Hospital

Obstetrics & Gynecology Physician · Rexburg, ID

NPI number 1073154266 Active

Practice location

37 S 2nd E
Rexburg, ID 83440-1906

Call (208) 356-0234 Map

Other practice locations

477 Pleasant Country Ln, Rigby, ID 83442-5278 · (208) 356-0234

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Pediatrics Physician	208000000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

16 other providers at this address

Other obstetrics & gynecology physician providers in Rexburg

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NPI record

NPI: 1073154266
Entity type: Organization (Type 2)
Issued: Sep 30, 2019
Last updated: Mar 5, 2026
Status: Active
Subpart: Yes of Madison Co Memorial Hospital

Other names

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Seasons Medical By Madison Memorial · doing business as
Seasons Medical By Madison Memorial · doing business as

Authorized official

Rachel Gonzales, DM, RN, RODP
Chief Executive Officer
(208) 359-6900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073154266

Madison Co Memorial Hospital's National Provider Identifier is 1073154266, issued on Sep 30, 2019. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Rexburg, ID. The record was last updated on Mar 5, 2026.