According to Marco Polo Athiramkari was a trade center famous for Pottery, Cattle's, vegetable market (still exists) and clothes.
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Government Medical College, Kottayam, Caritas Hospital, Matha Hospital in Thellakom are situated very near to Athirampuzha.
This area was the confluence of three panchayaths — Kumaranalloor, Athirampuzha and Arpookara — and formed part of the territorial limits of three villages: Perumbaikkad, Athirampuzha and Kaipuzha.
Nearby villages also include Athirampuzha, Neendoor, Kurumulloor, Manjoor, Kallara, and Vechoor which gave its name to the Vechur cow, smallest breed of cattle found anywhere in the world.