Organization Active NPI

Marathon Health, LLC

  • Clinic/Center
  • Monroe, NC
National Provider Identifier
1467292805
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARATHON HEALTH, LLC
Practice address
2020 Ashcraft Ave BLDG 26
Monroe, NC 28110-3720
Phone
(704) 289-4511
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Authorized official

Name
Jeff Wells, MD
Title
Ceo
Phone
(317) 522-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2020 Ashcraft Ave BLDG 26
Monroe, NC 28110-3720

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (866) 434-3255

Other names 1

  • Marathon - Allvac 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
34D1026756Marathon - Allvac2020 Ashcraft Avenue Building, Monroe, NC 28110Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health LLC130 organizations share this tax ID, including this one

Locations

2020 Ashcraft Ave
Bldg 26
Monroe, NC 28110
Phone (704) 289-4511

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1467292805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARKET ST STE 2900",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042964",
            "telephone_number": "866-434-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 ASHCRAFT AVE BLDG 26",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281103720",
            "telephone_number": "704-289-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-522-0823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon - Allvac",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.