NPIMap

Organization Active NPI

Heywood Affiliated Medical Group Inc.

  • Urgent Care Clinic/Center
  • Gardner, MA
National Provider Identifier
1215304589
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HEYWOOD AFFILIATED MEDICAL GROUP INC.
Practice address
266 Main St
Gardner, MA 01440-2927
Phone
(978) 630-5030
NPI assigned
Aug 21, 2015
Organization subpart
Yes
Parent organization
HEYWOOD AFFILIATED MEDICAL GROUP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas J Sullivan
Title
Ceo
Phone
(978) 630-6157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

266 Main St
Gardner, MA 01440-2927

Mailing address

242 Green St
Admin Annex
Gardner, MA 01440-1336

Other names 1

  • Heywood Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001351 MA Part B Supplier - Clinic/Group Practice 6901882836 Receives reassigned benefits from 236 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athol, MA; Gardner, MA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Heywood Medical Group Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1215304589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 GREEN ST",
            "address_2": "ADMIN ANNEX",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402927",
            "telephone_number": "978-630-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYWOOD AFFILIATED MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEYWOOD AFFILIATED MEDICAL GROUP INC.",
        "enumeration_date": "2015-08-21",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-630-6157"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heywood Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heywood Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.