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ATHOL PRIMARY CARE
NPI 1952966491
Clinic/Center - Rural Health in Athol, MA

Active since May 09, 2019CLIA 22D2160380 · Waiver
2033 MAIN ST, ATHOL, MA 01331(978) 249-1295(978) 249-1550 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, May 9, 2019 (2 updates tracked since 2019).

About Athol Primary Care NPPES

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

ATHOL PRIMARY CARE (NPI 1952966491) is a healthcare organization registered as a rural health in Athol, Massachusetts and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through January 8, 2027 and lists Thomas J Sullivan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952966491
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameATHOL MEMORIAL HOSPITAL INCORPORATED
Location Address2033 MAIN STAthol, MA 01331-3535
Mailing Address242 Green StGardner, MA 01440-1336 · (978) 632-3420 · Fax (978) 669-5952
Phone(978) 249-1295
Fax(978) 249-1550
Organization SubpartYes
Authorized OfficialThomas J SullivanCeo · (978) 630-6157
Enumeration DateMay 9, 2019
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
✔ NPI 1952966491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2033 MAIN ST, Athol, MA 01331
Open in Google Maps ↗

Other Names 1

Doing Business AsAthol Primary Care

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 22D2160380

Athol Primary Care · Athol, MA
Active · expires Jan 8, 2027
CLIA Number22D2160380
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorMaireni Cruz
Laboratory Phone(978) 249-1295
Laboratory LocationAthol Primary Care2033 Main St, 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 20

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

DR. PETER N GORLIN MD
Emergency Medicine
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-1250
MRS. SUSAN JANE BARNES MED CCC SLP
Speech-Language Pathologist
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-3511
ALEXANDRA MAHAN
Counselor (Mental Health)
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-9490
DYLAN CHARLES HALL DPT
Physical Therapist
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-1201
SCOTT ROYAL
Counselor (Mental Health)
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-9490
STEPHANIE DALTON RN
Registered Nurse
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-9490
SAMANTHA FITZGERALD
Counselor
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-9490
GABRIANA JEWEL DICKERSON
Counselor (Mental Health)
2033 MAIN ST
ATHOL, MA 01331
Worcester County (978) 249-9490

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 1952966491. It was assigned to this organization in the NPPES registry on May 9, 2019. The provider is doing business as Athol Primary Care.

Where is Athol Memorial Hospital Incorporated located?

Athol Memorial Hospital Incorporated is located at 2033 Main St, Athol, MA 01331. The listed phone number is (978) 249-1295.

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 22D2160380) is associated with this NPI, valid through January 8, 2027. 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.