# MARATHON HEALTH, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARATHON HEALTH, INC.
- **Other names:** Marathon Health at Baldwin
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023451143
- **Legal business name:** MARATHON HEALTH, INC.
- **Authorized official:** JERRY FORD (CEO)
- **Authorized official phone:** (802) 857-0400

## Contact information

- **Practice address:** 4400 HIGHWAY 30 E, C/O BALDWIN FILTERS HEALTH CENTER, KEARNEY, NE 68847-9797
- **Practice address phone:** (308) 237-8777
- **Mailing address:** 20 WINOOSKI FALLS WAY, SUITE 400, WINOOSKI, VT 05404-2228
- **Mailing address phone:** (802) 857-0400
- **Mailing address fax:** (802) 857-0498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2013
- **Last updated:** 04/08/2013