Organization
MARATHON HEALTH, LLC
Active
Parent organization
MARATHON HEALTH, LLC
Other names
Marathon Health Cargill at Marshall, MO
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
807 CHEROKEE DR STE 5, MARSHALL, MO 65340-1690
(660) 202-4227
Mailing address
PO BOX 5, WINOOSKI, VT 05404-0005
(802) 857-0400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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