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Contact Information

MARATHON HEALTH LLC
3520 COVINGTON RD
KALAMAZOO, MI49001
 Phone: 802-857-0400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARATHON HEALTH LLC

NPI Number 1104318369
LBN Legal business name MARATHON HEALTH LLC
Authorized official JERRY FORD - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/04/2018
Last updated 06/16/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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