Marathon Healthcare of Springfield

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0066 Issued in MA

Legal business name

MARATHON HEALTHCARE OF SPRINGFIELD

Practice address

370 Pine St
Springfield, MA 01105-1931

Phone

(413) 731-5871

Fax

(413) 731-5384

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Czerniewski

Title

Chief Financial Officer

Phone

(860) 290-7514

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881641009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E RIVER DR",
            "address_2": "RIVERVIEW SQUARE 8TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083288",
            "telephone_number": "860-528-0007",
            "fax_number": "860-528-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 PINE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051931",
            "telephone_number": "413-731-5871",
            "fax_number": "413-731-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARATHON HEALTHCARE OF SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CZERNIEWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-290-7514",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MA",
            "license": "0066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0931306",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Luz E. Marcano, LCSW
• David E March, M.D.
• Valerie Lisa Marcil
• Isabelle Grace Marcolivio
• Rachel Marcotte

• Skilled Nursing Facility in Springfield, MA
• Providers in Springfield, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.