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Marathon Health, LLC

Nurse Practitioner in Poplar Bluff, MO · enumerated 2019 · authorized official Jerry Ford, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417511924

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Registry record

Entity type Organization (Type 2)
Legal business name Marathon Health, LLC
Parent organization Marathon Health LLC
Practice address 725 Highway 142, Poplar Bluff, MO, 63901
Phone (573) 312-3767
Enumeration date Apr 30, 2019
Last updated in NPPES Apr 30, 2019

Taxonomy & classification

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Jerry Ford
Title Ceo
Phone (802) 857-0400

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Marathon Health, LLC?
The NPI for Marathon Health, LLC is 1417511924, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Marathon Health, LLC?
NPPES lists Jerry Ford (Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-30.