Organization
MARATHON HEALTH, INC.
Active
Parent organization
MARATHON HEALTH, INC.
Other names
Marathon Health at Baldwin
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARATHON HEALTH, INC.
Authorized official
JERRY FORD (CEO)
(802) 857-0400
Entity
Organization
Contact information
Practice address
4400 HIGHWAY 30 E, C/O BALDWIN FILTERS HEALTH CENTER, KEARNEY, NE 68847-9797
(308) 237-8777
Mailing address
20 WINOOSKI FALLS WAY, SUITE 400, WINOOSKI, VT 05404-2228
(802) 857-0400
(802) 857-0498
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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