Organization · Type 2 NPI

Marathon Health, LLC

Family Nurse Practitioner · Midvale, UT

NPI number 1376083071 Active

Practice location

7259 South Bingham Junction, C/o Chg- Ut Health Center
Midvale, UT 84047

Call (802) 857-0400 Map

Mailing address

20 Winooski Falls Way Ste 400
Winooski, VT 05404-2239

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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NPI record

NPI: 1376083071
Entity type: Organization (Type 2)
Issued: Feb 28, 2017
Last updated: Feb 4, 2020
Status: Active
Subpart: Yes of Marathon Health LLC

Other names

<unavail>
Chg- Utah Health Center · other name
Marathon Health at Chg- Utah · other name
Marathon Health at Chg- Utah · other name

Authorized official

Jerry Ford
CEO
(802) 857-0400

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376083071

Marathon Health, LLC's National Provider Identifier is 1376083071, issued on Feb 28, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midvale, UT. The record was last updated on Feb 4, 2020.