MARATHON HEALTH LLC
NPI 1245863232
General Practice in Saint Augustine, FL

NPI Status: Active since February 18, 2020

Contact Information

580 STATE ROAD 206 W
SAINT AUGUSTINE, FL
ZIP 32086
Phone: (904) 671-8337

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  • Organization
  • General Practice
  • CLIA Number: 39D2162906
  • CLIA Cert. Type: Other - ONSITE HLTH CTR
  • CLIA Exp. Date: 03-04-2027

About MARATHON HEALTH LLC

This page provides the complete NPI Profile along with additional information for Marathon Health Llc, a primary care provider established in Saint Augustine, Florida operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1245863232 assigned on February 2020. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jerry Ford (Ceo)

NPI
1245863232
Provider Name
MARATHON HEALTH LLC
Entity Type
Organization
Location Address
580 STATE ROAD 206 W SAINT AUGUSTINE, FL 32086
Location Phone
(904) 671-8337
Mailing Address
PO BOX 5 WINOOSKI, VT 05404
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-18-2020
Last Update Date
02-18-2020
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A primary care provider (PCP) like Marathon Health Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JERRY FORD

Authorized Official Title
CEO
Authorized Official Phone
(802) 857-0400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2162906
Facility Type
Other - ONSITE HLTH CTR
Certificate Effective Date
March 05, 2025
Certificate Expiration Date
March 04, 2027
Laboratory Director
DR. REGINO J. FLORES
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marathon Health Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245863232
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285166626
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 6 + 6 + 6 + 2 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1245863232 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245863232, enumerated in the NPI registry as an "organization" on February 18, 2020

The provider is located at 580 State Road 206 W Saint Augustine, Fl 32086 and the phone number is (904) 671-8337

This medical organization specializes in General Practice with taxonomy code 208D00000X

The provider's CLIA number is 39D2162906 for a "other - onsite hlth ctr" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 18, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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