Athol Memorial Hospital – Critical Access Hospital, NPI 1336120047

Athol Memorial Hospital is a healthcare provider. based in Gardner, Massachusetts. specializing in Critical Access Hospital. The organization holds a License No. 2036 (MA). The NPI Number for Athol Memorial Hospital is 1336120047

Main info

Organization
Name
Athol Memorial Hospital
NPI
1336120047
Phone
(978) 632-3420
Address
242 GREEN ST
Authorized Official
THOMAS J SULLIVAN CEO
Enumeration Date
9 November 2005
Last Update Date
8 June 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness80
Years active:20State licenses:3Digital endpointsUpdated within 12 months

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Provider Addresses for Athol Memorial Hospital

  • Heywood Hospital, 242, Green Street, Gardner, Worcester County, Massachusetts, 01440, United States

    GARDNER, MA 014401336

    Phone: (978) 632-3420

    Fax: (978) 630-6596

    Type: Mailing

  • Athol Hospital, 2033, Main Street, Athol, Worcester County, Massachusetts, 01331, United States

    ATHOL, MA 01331

    Phone: (978) 249-3511

    Fax: (978) 249-2651

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (111 days away).

Enrollment records

3

Earliest due date

2026-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050218000228OClinic/Group PracticeMATBD
O20051116000033OCritical Access HospitalMATBD
O20210831002259OCritical Access HospitalMA2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01440)

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Reviews

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Frequently asked questions

Does Athol Memorial Hospital have a public NPI I can cite?
Public records show Athol Memorial Hospital under NPI 1336120047.
Is Athol Memorial Hospital currently accepting referrals based on NPI status?
Registry metadata lists Athol Memorial Hospital as active.
What does the directory say Athol Memorial Hospital does?
Insurance directories may phrase it differently, but here Athol Memorial Hospital maps to Critical Access Hospital. Clinical services aligned with this taxonomy classification.
Which community is linked to Athol Memorial Hospital?
Athol Memorial Hospital shows a connection to Gardner, Massachusetts in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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