ATHOL MEMORIAL HOSPITAL INCORPORATED NPI 1336120047

NPI Information

NPI: 1336120047
Provider Name: ATHOL MEMORIAL HOSPITAL INCORPORATED

Other Name: ATHOL MEMORIAL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
2033 MAIN STREET
ATHOL, MA
ZIP 01331
Phone: (978) 249-3511
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ATHOL MEMORIAL HOSPITAL INCORPORATED is a critical access general acute care hospital in Athol, MA. ATHOL MEMORIAL HOSPITAL INCORPORATED NPI is 1336120047. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Athol Memorial Hospital.

The provider's business location address is:

2033 MAIN STREET
ATHOL, MA
ZIP 01331
Phone: (978) 249-3511
Fax: (978) 249-2651

The provider's authorized official is Thomas J Sullivan .
The authorized official title is Ceo and has the following contact phone number (978) 630-6157.

The CLIA number assigned to this NPI record is 22D0068438 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	2036	MASSACHUSETTS	No
2	207P00000X	Emergency Medicine		2036	MASSACHUSETTS	No
3	207Q00000X	Family Medicine		2036	MASSACHUSETTS	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	2036	MASSACHUSETTS	No
5	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	2036	MASSACHUSETTS	No
6	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	2036	MASSACHUSETTS	No
7	261QM2500X	Clinic/Center	Medical Specialty	2226	MASSACHUSETTS	No
8	282N00000X	General Acute Care Hospital		2036	MASSACHUSETTS	No
9	282NC0060X	General Acute Care Hospital	Critical Access	050	MASSACHUSETTS	No
10	363A00000X	Physician Assistant		2036	MASSACHUSETTS	No
11	363L00000X	Nurse Practitioner		2036	MASSACHUSETTS	No
12	363LA2100X	Nurse Practitioner	Acute Care	2036	MASSACHUSETTS	No
13	363LF0000X	Nurse Practitioner	Family	2036	MASSACHUSETTS	No
14	282NC0060X	General Acute Care Hospital	Critical Access	2226	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110024479B	MEDICAID	MASSACHUSETTS
2	1200127	MEDICAID	MASSACHUSETTS
3	2222000301	OTHER	MASSACHUSETTS	BCBS OF MA INPATIENT
4	22Z303	OTHER	MASSACHUSETTS	MEDICARE SWING BED
5	2222000310	OTHER	MASSACHUSETTS	BCBS OF MA OUTPATIENT
6	1002244	MEDICAID	MASSACHUSETTS
7	22Z303	OTHER	MASSACHUSETTS	MCRSWING BED
8	110024479C	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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