MARATHON HEALTH LLC


Address: 248 E Capitol St Ste 105, Jackson, MS 39201-2503
Phone: 6017142563

MARATHON HEALTH LLC (NPI# 1245719624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245719624
Entity Type Organization
Organization Name MARATHON HEALTH LLC
Other Organization Name TRUSTMARK HEALTH CENTER
Practice Address 248 E Capitol St Ste 105
Jackson
MS 39201-2503
Mailing Address Po Box 5
Winooski
VT 05404-0005
Practice Telephone 6017142563
Enumeration Date 2018-08-07
Last Update Date 2018-08-07
Authorized Official Name JERRY FORD (CEO)
Authorized Official Telephone 8028570400
Is Organization Subpart Y
Parent Organization Name MARATHON HEALTH LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Trustmark Health Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508473588 Marathon Health LLC Family Medicine 2257 N Baylen St, Pensacola, FL 32501-1703 2020-09-24
1073147138 Marathon Health LLC Nurse Practitioner 20 Winooski Falls Way Ste 400, Winooski, VT 05404-2239 2020-02-27
1568095446 Marathon Health LLC Nurse Practitioner 131 Cliff Rd, Dothan, AL 36303-5415 2020-02-19
1407489479 Marathon Health LLC Nurse Practitioner 152 Ipsco St, Decatur, AL 35601-7412 2020-02-19
1265065247 Marathon Health LLC Physician Assistant 1660 Electric Ln, Fort Myers, FL 33917-3946 2020-02-18
1992338982 Marathon Health LLC Nurse Practitioner 2016 Weisenborn Rd, Saint Joseph, MO 64507-2537 2020-02-18
1245863232 Marathon Health LLC General Practice 580 State Road 206 W, Saint Augustine, FL 32086-7968 2020-02-18
1730712712 Marathon Health LLC Physician Assistant 7575 Northcliff Ave Ste 403, Brooklyn, OH 44144-3266 2020-02-18
1548892961 Marathon Health LLC General Practice 3740 International Golf Pkwy Ste 100, St Augustine, FL 32092-0665 2020-02-05
1104318369 Marathon Health LLC Nurse Practitioner 3520 Covington Rd, Kalamazoo, MI 49001 2018-06-04

Office Location

Street Address 248 E CAPITOL ST STE 105
City JACKSON
State MS
Zip Code 39201-2503

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962836874 Tanericha Lashay Anderson In Home Supportive Care 3200 Jackson St, Jackson, MS 39201 2013-08-27
1871617423 Karen White Jones Counselor 431 N State St, Jackson, MS 39201-1108 2007-03-19
1912520768 James Charles Haycraft Marriage & Family Therapist 431 N State St, Jackson, MS 39201-1108 2020-05-27
1548758832 Lisa Allegrezza Sorey Counselor 431 N State St, Jackson, MS 39201-1108 2018-04-23
1609287531 William Mcneese Jr. Counselor 431 N State St, Jackson, MS 39201-1108 2014-05-13
1902217805 Laurel Boyd Counselor 431 N State St, Summit Counseling, Jackson, MS 39201-1108 2014-05-13
1134424450 Ronald Gene Mumbower Psychologist 431 N State St, Jackson, MS 39201-1108 2011-01-18
1427350453 Donald E. Waller Counselor 431 N State St, Jackson, MS 39201-1108 2010-11-23
1285935932 Summit Counseling Counselor 431 N State St, Jackson, MS 39201-1108 2010-11-11
1184938060 Lee Smith Counselor 431 N State St, Jackson, MS 39201-1108 2010-08-03
Find all providers in zip 39201

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073113627 Jessicah Blasdel Nurse Practitioner 113 W Michigan Ave, Jackson, MI 49201-1340 2020-10-31
1801406335 Jade Russell Nurse Practitioner 2205 W Morrell St, Jackson, MI 49203-1357 2020-08-10
1992315212 Patrecia Campbell Nurse Practitioner 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 2020-08-01
1669008926 Kristine Edwards Nurse Practitioner 723 Woodlawn Ave, Jackson, MI 49203-2921 2020-03-19
1295366391 Christy White Nurse Practitioner 363 Old Pinson Rd, Jackson, TN 38301-9576 2020-01-28
1972141620 Primary Care - Bemis, LLC Nurse Practitioner 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 2019-12-12
1174164263 Tami Anne Miller Nurse Practitioner 124 N Bast St, Jackson, MO 63755-1704 2019-10-01
1265080584 Cameron Nicole Howard Nurse Practitioner 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 2019-08-29
1831750843 Rhiannon Michelle Andresen Nurse Practitioner 1022 Greystone Sq, Jackson, TN 38305-3580 2019-06-21
1902376361 Jenay B Krumm Nurse Practitioner 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 2018-11-28
Find all providers in JACKSON

Competitor

Search similar providers

City JACKSON
Zip Code 39201

Improve Information

Please comment or provide details below to improve the information on MARATHON HEALTH LLC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches