Organization
MARATHON HEALTH, LLC
Active
Parent organization
MARATHON HEALTH LLC
Other names
Marathon Health at CHG- Utah, CHG- Utah Health 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
7259 SOUTH BINGHAM JUNCTION, C/O CHG- UT HEALTH CENTER, MIDVALE, UT 84047
(802) 857-0400
Mailing address
20 WINOOSKI FALLS WAY STE 400, WINOOSKI, VT 05404-2239
(802) 857-0444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/04/2020
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