NPI 1710496310

Medallus & Vacharothone LTD

Organisation Family Medicine Physician Jamestown, ND

Practice location

Address: 721 1st Ave S Unit a, Jamestown, ND 58401
Phone: (877) 633-9110
Mailing address: 721 a 1st Ave South, Jamestown, ND 58401

Authorised official

Name: Rachot Vacharothone
Title: Ceo
Phone: (801) 260-1919

Registered specialties (4)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in North Dakota →

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1710496310
Entity type: Organization
NPI issued: 26 Sep 2017
Record last updated: 16 Jun 2026

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.