# MEDALLUS & VACHAROTHONE LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medallus Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902329469
- **Authorized official:** MONIQUE ARAGON (COMPLIANCE ADMIN ASST/ CRED LIAISON)
- **Authorized official phone:** (801) 260-1919

## Contact information

- **Practice address:** 1501 LAMOILLE HWY, ELKO, NV 89801-4321
- **Practice address phone:** (775) 400-1510
- **Practice address fax:** (775) 376-9578
- **Mailing address:** 10433 S REDWOOD RD STE 2, SOUTH JORDAN, UT 84095-8502
- **Mailing address phone:** (801) 260-1919
- **Mailing address fax:** (801) 260-1441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/17/2017
- **Last updated:** 06/16/2025
