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MARATHON HEALTH AT HEARTHSIDE
NPI 1043769722
Nurse Practitioner in Mccomb, OH

Active since September 23, 2016CLIA Certified · 3 labs
428 COOPER ST, C/O HEARTHSIDE HEALTH CENTER, MCCOMB, OH 45858(802) 857-0400 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Marathon Health At Hearthside NPPES

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

MARATHON HEALTH AT HEARTHSIDE (NPI 1043769722) is a healthcare organization registered as a nurse practitioner in Mccomb, Ohio and active in the NPI registry since September 2016. The organization holds 3 active CLIA laboratory certificates and lists Jerry Ford, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043769722
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMARATHON HEALTH, INC
Location Address428 COOPER ST, C/O HEARTHSIDE HEALTH CENTERMccomb, OH 45858
Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239 · (802) 857-0400
Phone(802) 857-0400
Organization SubpartYes
Authorized OfficialJerry FordCeo · (802) 857-0400
Enumeration DateSeptember 23, 2016
✔ NPI 1043769722 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.
428 COOPER ST, Mccomb, OH 45858
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Other Names 1

Other NameMarathon Health At Hearthside

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

CLIA Laboratory Certificates CMS CLIA 3

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 36D2158234

Marathon Health At Kings Mills · Mason, OH
Active · expires Apr 25, 2028
CLIA Number36D2158234
Laboratory TypeEmployer Health Center
Certificate Effective DateApril 26, 2026
Certificate Expiration DateApril 25, 2028
Laboratory DirectorPat Krause
Laboratory Phone(802) 857-0400
Laboratory LocationMarathon Health At Kings Mills2188 Kings Mills Rd, Mason, OH 45040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2180106

Marathon Health At Sycamore Commons · Matthews, NC
Active · expires Mar 31, 2028
CLIA Number34D2180106
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorLisa Clauson
Laboratory Phone(802) 857-0400
Laboratory LocationMarathon Health At Sycamore Commons2335 Matthews Township Parkway Suite 101, Matthews, NC 28105
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2158235

Marathon Health At Springdale Town Center · Springdale, OH
Active · expires Nov 25, 2026
CLIA Number36D2158235
Laboratory TypeOnsite Health Center
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorWilliam Klein
Laboratory Phone(802) 857-0400
Laboratory LocationMarathon Health At Springdale Town Center11568 Springfield Pike, Springdale, OH 45246
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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, Inc's NPI number?

The NPI number for Marathon Health, Inc is 1043769722. It was assigned to this organization in the NPPES registry on September 23, 2016. The provider is also known as Marathon Health At Hearthside.

Where is Marathon Health, Inc located?

Marathon Health, Inc is located at 428 Cooper St C/O Hearthside Health Center, Mccomb, OH 45858. The listed phone number is (802) 857-0400.

What is Marathon Health, Inc's specialty?

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

Does Marathon Health, Inc hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Marathon Health, Inc was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.