Marathon Health, INC
Nurse Practitioner in McComb, OH. Organization (NPI-2).
NPI number1043769722
StatusActive
Last updated in NPPESSep 23, 2016
Details
- NPI
- 1043769722
- Entity type
- Organization (NPI-2)
- Legal business name
- Marathon Health, INC
- Organization subpart
- Yes
- Enumeration date
- Sep 23, 2016
- Last updated
- Sep 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Other names
- Marathon Health At Hearthside (Other Name)
Practice location
428 Cooper StC/O Hearthside Health Center
McComb, OH 45858
Phone 802-857-0400
Mailing address
20 Winooski Falls Way Ste 400Winooski, VT 05404-2239
Phone 802-857-0400
Authorized official
Jerry Ford
Ceo
8028570400
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