Organization
ATHOL MEMORIAL HOSPITAL INCORPORATED
Active
Parent organization
HEYWOOD HEALTHCARE INC
Other names
Athol Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEYWOOD HEALTHCARE INC
Authorized official
THOMAS J SULLIVAN (CEO)
(978) 630-6157
Entity
Organization
Contact information
Practice address
2033 MAIN STREET, ATHOL, MA 01331
(978) 249-3511
(978) 249-2651
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 632-3420
(978) 630-6596
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2036
MA
207Q00000X
Family Medicine Physician
2036
MA
207RC0000X
Cardiovascular Disease Physician
2036
MA
2084F0202X
Forensic Psychiatry Physician
2036
MA
2084P0805X
Geriatric Psychiatry Physician
2036
MA
2085B0100X
Body Imaging Physician
2036
MA
261QM2500X
Medical Specialty Clinic/Center
2226
MA
282N00000X
General Acute Care Hospital
2036
MA
282NC0060X
Critical Access Hospital
050
MA
282NC0060X
Critical Access Hospital
Primary
2226
MA
363A00000X
Physician Assistant
2036
MA
363L00000X
Nurse Practitioner
2036
MA
363LA2100X
Acute Care Nurse Practitioner
2036
MA
363LF0000X
Family Nurse Practitioner
2036
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002244
—
MA
05
—
110024479B
—
MA
05
—
110024479C
—
MA
05
—
1200127
—
MA
01
—
2222000301
BCBS OF MA INPATIENT
MA
01
—
2222000310
BCBS OF MA OUTPATIENT
MA
01
—
22Z303
MEDICARE SWING BED
MA
Enumeration date
11/09/2005
Last updated
06/08/2023
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