Marathon Health, Inc
Organization Active NPI Nurse Practitioner · McComb, OH
NPI 1043769722 · NPPES record last updated Sep 23, 2016
Key facts
- NPI
- 1043769722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- MARATHON HEALTH, INC
- Practice address
- 428 Cooper St
C/O Hearthside Health Center
McComb, OH 45858 - Phone
- (802) 857-0400
- NPI assigned
- Sep 23, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- MARATHON HEALTH, INC
Authorized official
- Name
- Jerry Ford
- Title
- Ceo
- Phone
- (802) 857-0400
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Marathon Health LLC
- Part of
- Marathon Health LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
428 Cooper St
C/O Hearthside Health Center
McComb, OH 45858
Mailing address
20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239
Phone (802) 857-0400
Other names
- Marathon Health at Hearthside
Other providers in McComb, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.