Marathon Health, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MARATHON HEALTH, LLC

Practice address

1110 Grundman Blvd
C/O Cargill Employee Health Center
Nebraska City, NE 68410

Phone

(402) 973-1340

NPI assigned

Aug 28, 2016

Organization subpart

Yes

Parent organization

MARATHON HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Jerry Ford

Title

Ceo

Phone

(802) 857-0400

Specialties & licenses 1

Addresses

Other names 1

• Marathon Health at Cargill Nebraska City Other name

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

CLIA laboratory certificates

Tax ID family

Marathon Health LLC130 organizations share this tax ID, including this one

Part of

Marathon Health LLC

Organizations with this tax ID in the same state 4

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

• Marathon Health LLC

  • Nurse Practitioner
  • Lincoln, NE
  • NPI 1215560297
  NPD tax ID
• Marathon Health LLC

  • Physician Assistant
  • Lincoln, NE
  • NPI 1770114175
  NPD tax ID
• Marathon Health, Inc.

  • Physician Assistant
  • Kearney, NE
  • NPI 1023451143
  NPD tax ID
• Marathon Health, Inc.

  • General Practice Physician
  • Schuyler, NE
  • NPI 1649629478
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia R Gallagher, APRN

  • Primary Care Nurse Practitioner
  • Plattsmouth, NE
  • NPI 1932374014
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1265988554",
    "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",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 GRUNDMAN BLVD",
            "address_2": "C/O CARGILL EMPLOYEE HEALTH CENTER",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "68410",
            "telephone_number": "402-973-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH, LLC",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-857-0400"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Health at Cargill Nebraska City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abby Lollmann, OTD, OTR/L
• Destiney Marie Lopez
• Caleb Joel Louthan
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• Makenna Naomi Majors
• Abby Hanson Mathis, OTR/L
• MB4 Enterprises, Inc.
• Gretchen McBride, EDS
• Jill McCaslin-Timmons, PH.D.
• Ryan Daniel McConnell

• All providers in Nebraska City, NE
• General Practice Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.