ATHOL MEMORIAL HOSPITAL INCORPORATED is a rural health clinic center in Athol, MA. ATHOL MEMORIAL HOSPITAL INCORPORATED NPI is 1073049441. The provider is registered as an organization entity type. The provider Is Doing Business As Tully Family Medicine.
The provider's business location address is:
81 RESERVOIR DRIVE ATHOL, MA ZIP 01331 Phone: (978) 248-5135 Fax: (978) 248-5130
The provider's authorized official is Thomas 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 22D2051291 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/4/2017 and was last updated on 6/8/2023.
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:
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: 3/30/2025
NPI Synchronization or Removal
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