Marathon Health, Inc.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

MARATHON HEALTH, INC.

Practice address

2530 W Broadway St
C/O Boar'S Head Employee Health Center
Forrest City, AR 72335-4403

Phone

(870) 581-4318

NPI assigned

Nov 16, 2015

Organization subpart

Yes

Parent organization

MARATHON HEALTH, INC.As 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 Boar's Head 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 2

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
  • Green Forest, AR
  • NPI 1962092619
  NPD tax ID
• Marathon Health, Inc.

  • Nurse Practitioner
  • Stuttgart, AR
  • NPI 1558730648
  NPD tax ID

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1699149559",
    "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": "2530 W BROADWAY ST",
            "address_2": "C/O BOAR'S HEAD EMPLOYEE HEALTH CENTER",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723354403",
            "telephone_number": "870-581-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARATHON HEALTH, INC.",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "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": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marathon Health at Boar's Head",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janet Love, MHPP
• Sheila J. Lowery, LPC
• Rebecca Lundy, RN
• Tracy Lynch-Sparkman
• Cammie Mallard, RN
• Kaylee Marple
• Rodneysha Martin, PA
• Dylan Mathews
• Hipolito D. Matos, MD
• Sharon McClellan

• Nurse Practitioner in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.