Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MARATHON HEALTH LLC
Active
Organization
MARATHON HEALTH LLC
Active
Parent organization
MARATHON HEALTH, LLC
Other names
Charlotte Schools Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH, LLC
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
18150 MURDOCK CIR BLDG G, C/O CHARLOTTE SCHOOLS WELLNESS CENTER, PORT CHARLOTTE, FL 33948-4027
(802) 857-0434
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0434
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up