Organization Active NPI

Town of Mattapoisett

  • Land Ambulance
  • Mattapoisett, MA
National Provider Identifier
1972586493
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF MATTAPOISETT
Practice address
64 County Rd
Mattapoisett, MA 02739-1650
Phone
(508) 758-4141
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Jessica Desjardins
Title
Admin Assist EMS/Police
Phone
(508) 758-4141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3116 MA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

64 County Rd
Mattapoisett, MA 02739-1650

Mailing address

64 County Rd
Mattapoisett, MA 02739-1591
Phone (508) 758-4141

Other identifiers 6

IdentifierTypeStateIssuer
801027OtherTUFTS HEALTH PLAN
000000025107OtherBMC HEALTHNET
1714031MedicaidMA
0026157OtherNEIGHBORHOOD HEALTH
700025OtherHARVARD PILGRIM
590008942OtherRR MEDICARE

Other names 1

  • Mattapoisett Police EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000124 MA Part B Supplier - Ambulance Service Supplier 4486664679 Practice locations: Mattapoisett, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2320621Town of Mattapoisett Police EMS64 County Rd, Mattapoisett, MA 02739Certificate of waiverMar 20, 2027

National Provider Directory

National Provider Directory
Tax ID family
Town of Mattapoisett3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

64 County Rd
Mattapoisett, MA 02739
Phone (508) 758-4141

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1972586493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391591",
            "telephone_number": "508-758-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 COUNTY RD",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027391650",
            "telephone_number": "508-758-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MATTAPOISETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "ADMIN ASSIST EMS/POLICE",
        "authorized_official_telephone_number": "508-758-4141"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3116",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "801027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000025107",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714031",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0026157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700025",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590008942",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattapoisett Police EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattapoisett, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.