MEDICARE: MARATHON HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1144945593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARATHON HEALTH LLC

Provider Business Mailing Address
First Line	:	20 WINOOSKI FALLS WAY STE 400
Second Line	:
City	:	WINOOSKI
State	:	VT
Zip	:	05404-2239
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 S LINCOLN AVE
Second Line	:
City	:	SALEM
State	:	OH
Zip	:	44460-4250
Country	:	US
Telephone Number	:	866-434-3255
Fax Number	:

Authorized Official
Title or Position	:	LOGISTICS
Name	:	RHIANNON CHANDLER
Credential	:
Telephone Number	:	866-434-3255

Provider Enumeration Date	:	10/07/2022
Last Update Date	:	03/09/2023

Similar Medicare Providers

1891511754 — GASTON FAMILY HEALTH SERVICES INC
Practice Location Address:

4250 JOHNNY KNOLL LN
WINSTON SALEM, NC
27107-2605

Practice Phone: 336-407-9561
Practice Fax:

1780536904 — BENTON PASKU
Practice Location Address:

2955 E STATE ST STE 5
SALEM, OH
44460-9307

Practice Phone: 234-575-0174
Practice Fax:

1992662415 — MORGAN MORRIS
Practice Location Address:

1995 E STATE ST
SALEM, OH
44460-2423

Practice Phone: 330-332-1551
Practice Fax:

1619829645 — ATHZIRI RODRIGUEZ
Practice Location Address:

1589 SOUTHEAST BLVD
SALEM, OH
44460-3906

Practice Phone: 614-679-4142
Practice Fax:

1750828281 — GRACE WOODS SALEM OPCO, LLC
Practice Location Address:

1166 BENTON RD
SALEM, OH
44460-7623

Practice Phone: 330-332-1104
Practice Fax: 330-337-1273

1699266981 — MORGAN NICOLE SHIVERS DMD
Practice Location Address:

2940 OH-45
SALEM, OH
44460

Practice Phone: 330-332-5377
Practice Fax:

Directions to “MARATHON HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.