TULLY WALK-IN CARE CENTER
NPI 1881123552
Clinic/Center - Urgent Care in Athol, MA

NPI Status: Active since June 07, 2017

Contact Information

81 RESERVOIR DRIVE
ATHOL, MA
ZIP 01331
Phone: (978) 248-5135

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 22D1100281
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 06-02-2025

About TULLY WALK-IN CARE CENTER

This page provides the complete NPI Profile along with additional information for Tully Walk-in Care Center, a provider established in Athol, Massachusetts operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1881123552 assigned on June 2017. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Tully Walk-in Care Center. The authorized official of this NPI record is Thomas J Sullivan (Ceo)

NPI
1881123552
Provider Legal Name
HEYWOOD MEDICAL GROUP INC
Other Organization Name
TULLY WALK-IN CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
81 RESERVOIR DRIVE ATHOL, MA 01331
Location Phone
(978) 248-5135
Mailing Address
242 GREEN STREET ADMIN ANNEX BUILDING GARDNER, MA 01440
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-07-2017
Last Update Date
06-08-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • NH Local Choice HMO Bronze 8000 - HMO
  • NH Local Choice HMO Gold - HMO
  • NH Local Choice HMO Gold 1400 - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 - HMO
  • NH Local Choice HMO Silver 5000 - HMO
  • NH Local HMO Bronze 7500 Standard - HMO
  • NH Local HMO Gold 1500 Standard - HMO
  • NH Local HMO Silver 5000 Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

THOMAS J SULLIVAN

Authorized Official Title
CEO
Authorized Official Phone
(978) 630-6157

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
22D1100281
Facility Type
Mobile Laboratory
Certificate Effective Date
June 03, 2023
Certificate Expiration Date
June 02, 2025
Laboratory Director
FRANK GAROFALO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tully Walk-in Care Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1881123552
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28161226510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 6 + 1 + 2 + 2 + 6 + 5 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1881123552 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073049441ATHOL MEMORIAL HOSPITAL INCORPORATED
Organization
Clinic/Center (Rural Health)81 RESERVOIR DRIVE
ATHOL, MA 01331
(978) 248-5135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881123552, enumerated in the NPI registry as an "organization" on June 07, 2017

The provider is located at 81 Reservoir Drive Athol, Ma 01331 and the phone number is (978) 248-5135

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield and Harvard. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 22D1100281 for a "mobile laboratory" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 07, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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