NPIMap

Organization Active NPI

Medallus & Vacharothone LTD

Doing business as Medallus Medical

  • Urgent Care Clinic/Center
  • Elko, NV
National Provider Identifier
1902329469
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDALLUS & VACHAROTHONE LTD
Doing business as
Medallus Medical
Practice address
1501 Lamoille Hwy
Elko, NV 89801-4321
Phone
(775) 400-1510
Fax
(775) 376-9578
NPI assigned
Jul 17, 2017
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Monique Aragon
Title
Compliance Admin Asst/ Cred Liaison
Phone
(801) 260-1919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1501 Lamoille Hwy
Elko, NV 89801-4321

Mailing address

10433 S Redwood Rd Ste 2
South Jordan, UT 84095-8502
Phone (801) 260-1919

Other names 1

  • Medallus Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171228001478 NV Part B Supplier - Clinic/Group Practice 3072871276 Receives reassigned benefits from 10 practitioners
Practice locations: Elko, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

2701 Uptown Way S
Fargo, ND 58104
Phone (701) 368-4380

2701 Uptown Way S
Ste A
Fargo, ND 58104

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1902329469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 S REDWOOD RD STE 2",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958502",
            "telephone_number": "801-260-1919",
            "fax_number": "801-260-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LAMOILLE HWY",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898014321",
            "telephone_number": "775-400-1510",
            "fax_number": "775-376-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDALLUS & VACHAROTHONE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "ARAGON",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "COMPLIANCE ADMIN ASST/ CRED LIAISON",
        "authorized_official_telephone_number": "801-260-1919"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medallus Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medallus Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.