OC TANNER HEALTH CENTER - NPI 1033773544 - Nurse Practitioner in Salt Lake City, UT

Q: What is Marathon Health, LLC's NPI number?

The NPI number for Marathon Health, LLC is 1033773544. It was assigned to this organization in the NPPES registry on April 30, 2019. The provider is also known as Oc Tanner Health Center.

Q: What is Marathon Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Oc Tanner Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OC TANNER HEALTH CENTER (NPI 1033773544) is a healthcare organization registered as a nurse practitioner in Salt Lake City, Utah and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through April 29, 2027 and lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033773544

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMARATHON HEALTH, LLC

Location Address1865 S MAIN ST STE 12Salt Lake City, UT 84115-2090

Mailing AddressPo Box 5Winooski, VT 05404-0005

Phone(801) 657-5580

Organization SubpartYes

Authorized OfficialJerry FordCeo · (802) 857-0400

Enumeration DateApril 30, 2019

Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2021

✔ NPI 1033773544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1865 S MAIN ST STE 12, Salt Lake City, UT 84115

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Other Names 1

Other NameOc Tanner Health Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2165508

Oc Tanner Health Center · Salt Lake City, UT

Active · expires Apr 29, 2027

CLIA Number46D2165508

Laboratory TypeOnsite Health Center

Certificate Effective DateApril 30, 2025

Certificate Expiration DateApril 29, 2027

Laboratory DirectorJanice Schorr

Laboratory Phone(802) 857-0400

Laboratory LocationOc Tanner Health Center1865 S Main St, Suite 4, Salt Lake City, UT 84115

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marathon Health, LLC's NPI number?

The NPI number for Marathon Health, LLC is 1033773544. It was assigned to this organization in the NPPES registry on April 30, 2019. The provider is also known as Oc Tanner Health Center.

Where is Marathon Health, LLC located?

Marathon Health, LLC is located at 1865 S Main St Ste 12, Salt Lake City, UT 84115. The listed phone number is (801) 657-5580.

What is Marathon Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Marathon Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2165508) is associated with this NPI, valid through April 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marathon Health, LLC accept?

Health plans from Select Health list Marathon Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marathon Health, LLC was last updated on February 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.