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Organization

MARATHON HEALTH, INC.

Active
Parent organization
MARATHON HEALTH, INC.
Other names
Marathon Health at Boar's Head
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
2530 W BROADWAY ST, C/O BOAR'S HEAD EMPLOYEE HEALTH CENTER, FORREST CITY, AR 72335-4403
(870) 581-4318
Mailing address
20 WINOOSKI FALLS WAY, SUITE 400, WINOOSKI, VT 05404-2228
(802) 857-0400

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
11/16/2015
Last updated
11/16/2015
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