Marathon Health, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MARATHON HEALTH, LLC

Doing business as

Land O' Lakes Wellness Center

Practice address

4001 Lexington Ave N Ste C2-435
Arden Hills, MN 55126-2934

Phone

(651) 375-2273

Fax

(651) 309-8600

NPI assigned

Mar 14, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Erin Catherin Smith, RPH

Title

Pharmacy Director

Phone

(816) 304-1933

Specialties & licenses 1

Addresses

Other names 1

• Land O' Lakes Wellness Center Doing business as

Tax ID family

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

Organizations with this tax ID in the same state 1

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

• Marathon Health, LLC

  • Corporate Health Clinic/Center
  • Arden Hills, MN
  • NPI 1659860716
  NPD tax ID

Locations

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1417450651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LEXINGTON AVE N STE C2-435",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551262934",
            "telephone_number": "651-375-2273",
            "fax_number": "651-309-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LEXINGTON AVE N STE C2-435",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551262934",
            "telephone_number": "651-375-2273",
            "fax_number": "651-309-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "CATHERIN",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "816-304-1933",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Land O' Lakes Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alisa M Madson, DDS, MS
• Marian Abdi Mahamud
• Hannah Marie Mangelsen
• Abigail Manthei
• Avery Jane Mantich
• Marathon Health, LLC
• Megan Kelly Markert
• Deandra Martin
• Caitlyn Jane Marty, MS, BCBA
• Alyssa Masco

• Non-Pharmacy Dispensing Site in Arden Hills, MN
• Providers in Arden Hills, MN by specialty
• Non-Pharmacy Dispensing Site in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.