MARATHON HEALTH, LLC (NPI# 1376083071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376083071 |
| Entity Type | Organization |
| Organization Name | MARATHON HEALTH, LLC |
| Other Organization Name | MARATHON HEALTH AT CHG- UTAH |
| Practice Address |
7259 South Bingham Junction C/o Chg- Ut Health Center Midvale UT 84047 |
| Mailing Address |
20 Winooski Falls Way Ste 400 Winooski VT 05404-2239 |
| Practice Telephone | 8028570400 |
| Mailing Telephone | 8028570444 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | JERRY FORD (CEO) |
| Authorized Official Telephone | 8028570400 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARATHON HEALTH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| CHG- Utah Health Center | Other Name - Individual/Organization |
| Marathon Health at CHG- Utah | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386292068 | Marathon Health, LLC | Family Medicine | 15745 S Airport Rd Bldg D, Battle Creek, MI 49015-8670 | 2019-08-27 |
| 1093376840 | Marathon Health, LLC | Nurse Practitioner | 807 Cherokee Dr Ste 5, Marshall, MO 65340-1690 | 2019-06-24 |
| 1033773544 | Marathon Health, LLC | Nurse Practitioner | 1930 S State St, Salt Lake City, UT 84115-2311 | 2019-04-30 |
| 1881167245 | Marathon Health, LLC | Physician Assistant | 284 Roost Ave, Holland, MI 49424-2032 | 2019-01-09 |
| 1639640527 | Marathon Health, LLC | Nurse Practitioner | 3880 Willowood Ave, Springdale, AR 72762-2774 | 2018-12-17 |
| 1952827818 | Marathon Health, LLC | Nurse Practitioner | 4700 Exchange Ct, Boca Raton, FL 33431-4450 | 2017-08-22 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1598306656 | Marathon Health, LLC | Nurse Practitioner | 1515 June Ave, Panama City, FL 32405-3759 | 2019-09-30 |
| 1932755956 | Marathon Health, LLC | Nurse Practitioner | 81 E Broadway St, Jackson, OH 45640 | 2019-08-15 |
| 1417511924 | Marathon Health, LLC | Nurse Practitioner | 725 Highway 142, Poplar Bluff, MO 63901-8159 | 2019-04-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MARATHON HEALTH, LLC | 20 Winooski Falls Suite 400, Winooski, Vt 05404 |
| Colorado Business Entities | Marathon Health, LLC | 20 Winooski Falls Way, Suite 400, Winooski, VT 05404 |
| Oregon Corporations, Companies and Business Names | MARATHON HEALTH, LLC | 20 Winooski Falls Way Ste 400, Winooski, VT 05404 |
| Street Address |
7259 SOUTH BINGHAM JUNCTION C/O CHG- UT HEALTH CENTER |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| 1124404322 | Reuben Leon Clark | Dentist | 655 West Center Street, Midvale, UT 84047 | 2015-08-11 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619486396 | Molina Healthcare of Utah | Nurse Practitioner | 7050 S Union Park Ave Ste 200, Midvale, UT 84047-4171 | 2017-09-25 |
| 1871031708 | Joanna Ruth Kennedy | Nurse Practitioner | 602 E Fort Union Blvd, Midvale, UT 84047-2216 | 2017-02-12 |
| 1972936326 | Whitney Jean Mentaberry | Nurse Practitioner | 65 E Twin Peaks St, Midvale, UT 84047-1215 | 2013-08-20 |
| 1912207226 | Stacie R Pearce | Nurse Practitioner | 602 E 7200 S, Midvale, UT 84047-2216 | 2010-11-02 |
| 1578198966 | Alexandra Nicole Hecht | Nurse Practitioner | 7050 S Union Park Ave Ste 200, Midvale, UT 84047-4171 | 2020-03-06 |
| 1508498221 | Kira Sue Whaley | Nurse Practitioner | 7495 S State St, Midvale, UT 84047-2013 | 2020-02-11 |
| 1083276232 | Starlene Rose | Nurse Practitioner | 602 E Fort Union Blvd, Midvale, UT 84047-2216 | 2019-07-08 |
| 1912435421 | Kyle Olson | Nurse Practitioner | 7309 S 180 W, Midvale, UT 84047-1020 | 2017-05-28 |
| 1316491327 | Katherine Lynn O'brien | Nurse Practitioner | 8446 S Harrison St, Midvale, UT 84047-3501 | 2016-08-08 |
| 1861709404 | Maria Concepcion Valdizan-garcia | Nurse Practitioner | 8446 S Harrison St, Midvale, UT 84047-3501 | 2010-09-02 |
| Find all providers in MIDVALE | ||||
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| 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.