# HENRY HEYWOOD MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HENRY HEYWOOD MEMORIAL HOSPITAL
- **Other names:** Heywood Emergency Room Physicians
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013529502
- **Legal business name:** HENRY HEYWOOD MEMORIAL HOSPITAL
- **Authorized official:** THOMAS J SULLIVAN (CEO)
- **Authorized official phone:** (978) 630-6157

## Contact information

- **Practice address:** 242 GREEN ST, GARDNER, MA 01440-1336
- **Practice address phone:** (978) 630-6944
- **Mailing address:** 242 GREEN ST, GARDNER, MA 01440-1373
- **Mailing address phone:** (978) 630-6944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2020
- **Last updated:** 06/08/2023
