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Madison Co Memorial Hospital

Psychiatry Physician in Rexburg, ID · enumerated 2021 · authorized official Jaime Tanner, Ambulatory Revenue Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477122570

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Registry record

Entity type Organization (Type 2)
Legal business name Madison Co Memorial Hospital
Other name <Unavail>
Parent organization Madison Co Memorial Hospital
Practice address 393 E 2nd N, Rexburg, ID, 83440
Fax (208) 448-4702
Enumeration date Jun 22, 2021
Last updated in NPPES Jul 29, 2026

Taxonomy & classification

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jaime Tanner
Title Ambulatory Revenue Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Madison Co Memorial Hospital?
The NPI for Madison Co Memorial Hospital is 1477122570, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Madison Co Memorial Hospital?
NPPES lists Jaime Tanner (Ambulatory Revenue Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-29.