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FRESH MARK HEALTH CENTER
NPI 1144945593
Nurse Practitioner - Family in Salem, OH

Active since October 07, 2022CLIA 36D2276819 · Waiver
1775 S LINCOLN AVE, SALEM, OH 44460(866) 434-3255 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2023, Oct 7, 2022 (2 updates tracked since 2022).

About Fresh Mark Health Center NPPES

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

FRESH MARK HEALTH CENTER (NPI 1144945593) is a healthcare organization registered as a family in Salem, Ohio and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through February 14, 2027 and lists Rhiannon Chandler, Logistics, as its authorized official.

NPPES Registry Identity

NPI1144945593
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMARATHON HEALTH LLC
Location Address1775 S LINCOLN AVESalem, OH 44460-4250
Mailing Address20 Winooski Falls Way Ste 400Winooski, VT 05404-2239
Phone(866) 434-3255
Organization SubpartYes
Authorized OfficialRhiannon ChandlerLogistics · (866) 434-3255
Enumeration DateOctober 7, 2022
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 9, 2023
✔ NPI 1144945593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1775 S LINCOLN AVE, Salem, OH 44460
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Other Names 1

Other NameFresh Mark 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

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 36D2276819

Fresh Mark Health Center · Salem, OH
Active · expires Feb 14, 2027
CLIA Number36D2276819
Laboratory TypeOnsite Health Center
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorGina Kelley
Laboratory Phone(802) 857-0400
Laboratory LocationFresh Mark Health Center1775 South Lincoln Ave Suite #1, Salem, OH 44460
CLIA data matches this NPI record on: Address Name
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 1144945593. It was assigned to this organization in the NPPES registry on October 7, 2022. The provider is also known as Fresh Mark Health Center.

Where is Marathon Health LLC located?

Marathon Health LLC is located at 1775 S Lincoln Ave, Salem, OH 44460. The listed phone number is (866) 434-3255.

What is Marathon Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Marathon Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2276819) is associated with this NPI, valid through February 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marathon Health LLC was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.