# MEDALLUS & VACHAROTHONE LTD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710496310
- **Authorized official:** RACHOT VACHAROTHONE MD (CEO)
- **Authorized official phone:** (801) 260-1919

## Contact information

- **Practice address:** 721 1ST AVE S UNIT A, JAMESTOWN, ND 58401
- **Practice address phone:** (877) 633-9110
- **Mailing address:** 721 A 1ST AVE SOUTH, JAMESTOWN, ND 58401
- **Mailing address phone:** (701) 368-4380
- **Mailing address fax:** (701) 540-6818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/26/2017
- **Last updated:** 06/16/2026