NPIMap

Organization Active NPI

Marathon Health LLC

  • Family Nurse Practitioner
  • Salem, OH
National Provider Identifier
1144945593
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MARATHON HEALTH LLC
Practice address
1775 S Lincoln Ave
Salem, OH 44460-4250
Phone
(866) 434-3255
NPI assigned
Oct 7, 2022
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MARATHON HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Rhiannon Chandler
Title
Logistics
Phone
(866) 434-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1775 S Lincoln Ave
Salem, OH 44460-4250

Mailing address

20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239

Other names 1

  • Fresh Mark Health Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2276819Fresh Mark Health Center1775 South Lincoln Ave Suite #1, Salem, OH 44460Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health Inc235 organizations share this tax ID, including this one
Part of
Marathon Health Inc

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

1735 S Lincoln Ave
#1
Salem, OH 44460

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1144945593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY STE 400",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 S LINCOLN AVE",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444604250",
            "telephone_number": "866-434-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH LLC",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "RHIANNON",
        "authorized_official_title_or_position": "LOGISTICS",
        "authorized_official_telephone_number": "866-434-3255"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Mark Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fresh Mark Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.