Provider Demographics
NPI:1871716373
Name:TOWN OF MATTAPOISETT
Entity type:Organization
Organization Name:TOWN OF MATTAPOISETT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH NURSE
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-758-4118
Mailing Address - Street 1:PO BOX 435
Mailing Address - Street 2:16 MAIN ST.
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-0435
Mailing Address - Country:US
Mailing Address - Phone:508-758-4100
Mailing Address - Fax:
Practice Address - Street 1:17 BARSTOW ST
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-2603
Practice Address - Country:US
Practice Address - Phone:508-758-4118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare