CMS-1500 Box 24J / 33a • NPI
1336120047
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
282NC0060X (CMS A0[7])
Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)
Box 32 Service Location & ZIP+4
2033 MAIN STREET, ATHOL, MA, 01331
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1336120047 (ATHOL MEMORIAL HOSPITAL INCORPORATED) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1336120047 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ATHOL MEMORIAL HOSPITAL INCORPORATED |
| Plain-English Specialty | Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) NUCC Code: 282NC0060X (General Acute Care Hospital, Critical Access) |
| Certifying / Licensing Body | The Joint Commission (TJC) / CMS Conditions of Participation (CoP) |
| Practice Location Address | 2033 MAIN STREET, ATHOL, MA, 01331 |
| Practice Telephone / Fax | Tel: (978) 249-3511 | Fax: (978) 249-2651 |
| Administrative Mailing Address | 242 GREEN ST, GARDNER, MA, 01440-1336 |
| Enumeration & Last Sync | Enumerated: 2005-11-09 | CMS Record Updated: 2023-06-08 |
| Authorized Official | THOMAS SULLIVAN (CEO) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (282NC0060X)
What Does Taxonomy Code 282NC0060X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 282NC0060X translates to:
"Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ATHOL MEMORIAL HOSPITAL INCORPORATED)
Typical CPT / Diagnostic Procedures:- Emergency Department Resuscitation & Trauma Stabilization (CPT 99281–99285)
- Inpatient Acute Medical & Critical Care Admission (DRG / CPT 99221–99291)
- Cross-Sectional Diagnostic Imaging: CT, MRI & Ultrasound
- Inpatient General, Orthopedic & Cardiothoracic Surgery
- 24-Hour Clinical Laboratory, Blood Bank & Microbiology Services
- Broad-Spectrum IV Antimicrobials (Ceftriaxone, Piperacillin-Tazobactam, Vancomycin, Linezolid)
- Parenteral Anticoagulants & Thrombolytics (Heparin, Enoxaparin, Alteplase)
- Balanced Crystalloid Infusions & Oral Rehydration Protocols
- Perioperative Anesthetics, Vasopressors & Analgesics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2085B0100X — Radiology, Body ImagingPlain English: Licensed & Credentialed Radiology, Body Imaging | State: MA | License: 2036 | Primary: Secondary |
207P00000X — Emergency MedicinePlain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) | State: MA | License: 2036 | Primary: Secondary |
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: MA | License: 2036 | Primary: Secondary |
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: MA | License: 2036 | Primary: Secondary |
2084F0202X — Psychiatry & Neurology, Forensic PsychiatryPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: MA | License: 2036 | Primary: Secondary |
2084P0805X — Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: MA | License: 2036 | Primary: Secondary |
261QM2500X — Clinic/Center, Medical SpecialtyPlain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center | State: MA | License: 2226 | Primary: Secondary |
282N00000X — General Acute Care HospitalPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: MA | License: 2036 | Primary: Secondary |
282NC0060X — General Acute Care Hospital, Critical AccessPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: MA | License: 050 | Primary: Secondary |
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: MA | License: 2036 | Primary: Secondary |
363L00000X — Nurse PractitionerPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner | State: MA | License: 2036 | Primary: Secondary |
363LA2100X — Nurse Practitioner, Acute CarePlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Acute Care | State: MA | License: 2036 | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: MA | License: 2036 | Primary: Secondary |
282NC0060X — General Acute Care Hospital, Critical AccessPlain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care) | State: MA | License: 2226 | Primary: Yes (Primary) |
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