NPI 1821342247
Madison Memorial Hospital
Practice location
- Address
- 450 E Main St, Rexburg, ID 83440-2048
- Phone
- (208) 359-6900
- Mailing address
- 6501 City West Pkwy, Eden Prairie, MN 55344-3248
Authorised official
- Name
- Dorsie Sullenger
- Title
- Director of Pharmacy
- Phone
- (208) 359-6900
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1821342247
- Entity type
- Organization
- NPI issued
- 7 Nov 2012
- Record last updated
- 7 Nov 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.