# CAIRN MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083110498
- **Authorized official:** DR. GREG VANICHKACHORN MD, MPH (PRESIDENT)
- **Authorized official phone:** (406) 300-4712

## Contact information

- **Practice address:** 8111 HIGHWAY 35, SUITE 210, BIGFORK, MT 59911
- **Practice address phone:** (406) 300-4712
- **Practice address fax:** (406) 420-5050
- **Mailing address:** 8111 HIGHWAY 35, SUITE 210, BIGFORK, MT 59911
- **Mailing address phone:** (406) 300-4712
- **Mailing address fax:** (406) 420-5050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12202 | MT | Yes |
| 2083X0100X | Occupational Medicine Physician | 12202 | MT | — |

## Other

- **Enumeration date:** 04/04/2018
- **Last updated:** 10/18/2018
