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TULLY FAMILY MEDICINE
NPI 1073049441
Clinic/Center - Rural Health in Athol, MA

Active since May 04, 2017CLIA 22D2051291 · Waiver
81 RESERVOIR DRIVE, ATHOL, MA 01331(978) 248-5135(978) 248-5130 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 8, 2023, Mar 20, 2019, Jun 6, 2017 (3 updates tracked since 2017).

About Tully Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TULLY FAMILY MEDICINE (NPI 1073049441) is a healthcare organization registered as a rural health in Athol, Massachusetts and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Thomas Sullivan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073049441
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameATHOL MEMORIAL HOSPITAL INCORPORATED
Location Address81 RESERVOIR DRIVEAthol, MA 01331
Mailing Address242 Green St, Admin AnnexGardner, MA 01440-1336
Phone(978) 248-5135
Fax(978) 248-5130
Organization SubpartYes
Authorized OfficialThomas SullivanCeo · (978) 630-6157
Enumeration DateMay 4, 2017
Last NPPES UpdateJune 8, 20233 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1073049441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
81 RESERVOIR DRIVE, Athol, MA 01331
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Other Names 1

Doing Business AsTully Family Medicine

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2051291

Tully Family Medicine Tully Walk-In Care Center · Athol, MA
Active · expires Jun 3, 2028
CLIA Number22D2051291
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorElizabeth Nottleson
Laboratory Phone(978) 248-5135
Laboratory LocationTully Family Medicine Tully Walk-In Care Center81 Reservoir Drive, Athol, MA 01331
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEYWOOD MEDICAL GROUP INC
Clinic/Center (Urgent Care)
81 RESERVOIR DRIVE
ATHOL, MA 01331
Worcester County (978) 248-5135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Athol Memorial Hospital Incorporated's NPI number?

The NPI number for Athol Memorial Hospital Incorporated is 1073049441. It was assigned to this organization in the NPPES registry on May 4, 2017. The provider is doing business as Tully Family Medicine.

Where is Athol Memorial Hospital Incorporated located?

Athol Memorial Hospital Incorporated is located at 81 Reservoir Drive, Athol, MA 01331. The listed phone number is (978) 248-5135.

What is Athol Memorial Hospital Incorporated's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Athol Memorial Hospital Incorporated hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2051291) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Athol Memorial Hospital Incorporated was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.