MARATHON HEALTH LLC NPI 1144945593

NPI Information

  • NPI: 1144945593
  • Provider Name: MARATHON HEALTH LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Other Name: FRESH MARK HEALTH CENTER
  • CLIA Number: 36D2276819
  • Address: 1775 S LINCOLN AVE
    SALEM, OH
    ZIP 44460
  • Phone: (866) 434-3255

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NPI Details

MARATHON HEALTH LLC is a family nurse practitioner in Salem, OH. MARATHON HEALTH LLC NPI is 1144945593. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Fresh Mark Health Center.

The provider's business location address is:

1775 S LINCOLN AVE
SALEM, OH
ZIP 44460-250
Phone: (866) 434-3255

The provider's authorized official is Rhiannon Chandler .
The authorized official title is Logistics and has the following contact phone number (866) 434-3255.

The CLIA number assigned to this NPI record is 36D2276819 - other - onsite health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2022 and was last updated on 3/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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