# OURHEALTH PHYSICIANS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marathon Health Northlake Occ Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861866964
- **Authorized official:** JEFFERY WELLS (PRESIDENT)
- **Authorized official phone:** (866) 434-3255

## Contact information

- **Practice address:** 10216 PERIMETER PKWY, UNIT C, CHARLOTTE, NC 28216-2461
- **Practice address phone:** (866) 434-3255
- **Mailing address:** 4151 E 96TH ST, INDIANAPOLIS, IN 46240-1442
- **Mailing address phone:** (866) 434-3255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/30/2015
- **Last updated:** 09/17/2026
