Active NPI
Town of Mattapoisett
- Land Ambulance
- Mattapoisett, MA
National Provider Identifier
1972586493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801027 | Other | TUFTS HEALTH PLAN | |
| 000000025107 | Other | BMC HEALTHNET | |
| 1714031 | Medicaid | MA | |
| 0026157 | Other | NEIGHBORHOOD HEALTH | |
| 700025 | Other | HARVARD PILGRIM | |
| 590008942 | Other | RR MEDICARE |
Other names 1
- Mattapoisett Police EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2320621 | Town of Mattapoisett Police EMS | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Mattapoisett
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Middleboro, MA
- NPI 1215061791
-
- Public Health or Welfare Agency
- Mattapoisett, MA
- NPI 1871716373
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.