NPIMap

Organization Active NPI

Marathon Health LLC

Doing business as Marathon Health Neosho

  • Clinic/Center
  • Neosho, MO
National Provider Identifier
1639925159
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MARATHON HEALTH LLC
Doing business as
Marathon Health Neosho
Practice address
4301 Howard Bush Dr
Neosho, MO 64850-9104
Phone
(417) 212-7144
NPI assigned
Apr 25, 2024
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Karla Spivey
Title
Implementation and Onboarding Coord
Phone
(317) 869-3164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4301 Howard Bush Dr
Neosho, MO 64850-9104

Mailing address

10 W Market St Ste 2900
Indianapolis, IN 46204-2964
Phone (317) 869-3164

Other names 1

  • Marathon Health Neosho Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health Inc166 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 7

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

Locations

4301 Howard Bush Dr
Neosho, MO 64850
Phone (417) 212-7144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1639925159",
    "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": "317-869-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HOWARD BUSH DR",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648509104",
            "telephone_number": "417-212-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "IMPLEMENTATION AND ONBOARDING COORD",
        "authorized_official_telephone_number": "317-869-3164"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Health Neosho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.