NPIMap

Organization Active NPI

Marathon Health, Inc.

  • General Practice Physician
  • Schuyler, NE
National Provider Identifier
1649629478
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MARATHON HEALTH, INC.
Practice address
108 West 17TH Street
C/O Cargill Employee Health Center
Schuyler, NE 68661-1304
Phone
(402) 615-9505
NPI assigned
Jun 13, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MARATHON HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

108 West 17TH Street
C/O Cargill Employee Health Center
Schuyler, NE 68661-1304

Mailing address

20 Winooski Falls Way
Suite 400
Winooski, VT 05404-2228
Phone (802) 857-0400

Other names 1

  • Marathon Health at Cargill Schuyler Other name

National Provider Directory

National Provider Directory
Tax ID family
Marathon Health LLC166 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.

Locations

108 W 17th St
Schuyler, NE 68661
Phone (402) 615-9505

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": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1649629478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WINOOSKI FALLS WAY",
            "address_2": "SUITE 400",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054042228",
            "telephone_number": "802-857-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WEST 17TH STREET",
            "address_2": "C/O CARGILL EMPLOYEE HEALTH CENTER",
            "city": "SCHUYLER",
            "state": "NE",
            "postal_code": "686611304",
            "telephone_number": "402-615-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH, INC.",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-08-15",
        "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": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Health at Cargill Schuyler",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schuyler, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.