ATHOL MEMORIAL HOSPITAL INCORPORATED (NPI# 1073049441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073049441 |
| Entity Type | Organization |
| Organization Name | ATHOL MEMORIAL HOSPITAL INCORPORATED |
| Other Organization Name | TULLY FAMILY MEDICINE |
| Practice Address |
81 Reservoir Drive Athol MA 01331 |
| Mailing Address |
242 Green St Admin Annex Gardner MA 01440-1336 |
| Practice Telephone | 9782485135 |
| Practice Fax Number | 9782485130 |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | MR. ROBERT CROSBY (SR. VP OF FINANCE, CFO) |
| Authorized Official Telephone | 9786306157 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATHOL MEMORIAL HOSPITAL INCORPORATED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tully Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336120047 | Athol Memorial Hospital Incorporated | General Acute Care Hospital | 2033 Main Street, Athol, MA 01331 | 2005-11-09 |
| 1952966491 | Athol Memorial Hospital Incorporated | Clinic/Center | 2033 Main St, Athol, MA 01331-3535 | 2019-05-09 |
| Street Address |
81 RESERVOIR DRIVE |
| City | ATHOL |
| State | MA |
| Zip Code | 01331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123552 | Heywood Medical Group Inc | Clinic/Center | 81 Reservoir Drive, Athol, MA 01331 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053811786 | Joyce Ann Dean | Physical Therapy Assistant | 821 Daniel Shays Highway, Athol, MA 01331 | 2018-02-19 |
| 1043680317 | Mark Lorion | Counselor | 491 Main St., Athol, MA 01331 | 2015-09-30 |
| 1184969875 | Vicky Mae Blake | Licensed Practical Nurse | 116 Chase Road, Athol, MA 01331 | 2012-12-06 |
| 1487733358 | Dwight K Stowell Jr Dmd | Dentist | 38 Exchange Street, Athol, MA 01331 | 2006-11-03 |
| 1801981493 | Heidi J Foley | Family Medicine | 78 Brickyard Road, Suite 2, Athol, MA 01331 | 2006-10-03 |
| 1437183266 | Jennifer S Mark | Family Medicine | Athol Memorial Hospital, 2033 Main Street, Athol, MA 01331 | 2006-07-10 |
| 1790714079 | Ashley Warner | Family Medicine | 81 Reservoir Dr, Athol, MA 01331 | 2006-06-30 |
| 1790732022 | Corazon Yandoc-maramag | Anesthesiology | 298 R Vine Street, Athol, MA 01331 | 2006-05-30 |
| 1336120047 | Athol Memorial Hospital Incorporated | General Acute Care Hospital | 2033 Main Street, Athol, MA 01331 | 2005-11-09 |
| 1801877873 | Fadi Baladi | Internal Medicine | 20 State Road, Phillipston, MA 01331 | 2005-11-08 |
| Find all providers in zip 01331 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952966491 | Athol Memorial Hospital Incorporated | Clinic/Center | 2033 Main St, Athol, MA 01331-3535 | 2019-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316077464 | Island Health Inc. | Clinic/Center | 245 Vineyard Haven-edgartown Road, Edgartown, MA 02539 | 2007-03-07 |
| 1881252286 | Fairview Hospital | Clinic/Center | 780 Main St, Great Barrington, MA 01230-2148 | 2019-05-31 |
| 1124686530 | Fairview Hospital | Clinic/Center | 197 Adams Rd, Williamstown, MA 01267-2930 | 2019-05-31 |
| 1639737042 | Fairview Hospital | Clinic/Center | 71 Hospital Ave, North Adams, MA 01247-2504 | 2019-05-31 |
| 1477021608 | Nantucket Cottage Hospital | Clinic/Center | 57 Prospect St, Nantucket, MA 02554-2799 | 2018-11-06 |
| 1447535141 | Pac Associates | Clinic/Center | 383 East St, Lenox, MA 01240-2234 | 2011-10-13 |
Please comment or provide details below to improve the information on ATHOL MEMORIAL HOSPITAL INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.