Madison Memorial Behavioral Health Clinic | |
37 S 2nd E Rexburg ID 83440-1906 | |
(208) 356-0234 | |
Not Available |
Full Name | Madison Memorial Behavioral Health Clinic |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 37 S 2nd E, Rexburg, Idaho |
Authorized Official Name and Position | Rachel Gonzales (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2083596900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Madison Memorial Behavioral Health Clinic Po Box 130 Rexburg ID 83440-0130 Ph: () - | Madison Memorial Behavioral Health Clinic 37 S 2nd E Rexburg ID 83440-1906 Ph: (208) 356-0234 |
NPI Number | 1477122570 |
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Provider Enumeration Date | 06/22/2021 |
Last Update Date | 10/23/2023 |
Certification Date | 10/23/2023 |
Identifier | Type | State | Issuer |
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1477122570 | NPI | - | NPPES |
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