MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL NPI 1366573198

NPI Information

  • NPI: 1366573198
  • Provider Name: MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL
  • Classification: Local Education Agency (LEA) - 251300000X
  • Entity Type: Organization
  • CLIA Number: 22D2206810
  • Address: PO 1150
    424 STATE RD.
    W. TISBURY, MA
    ZIP 02575
  • Phone: (508) 693-9900

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NPI Details

MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL is a local education agency lea in W. Tisbury, MA. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL NPI is 1366573198. The provider is registered as an organization entity type.

The provider's business location address is:

PO 1150
424 STATE RD.
W. TISBURY, MA
ZIP 02575
Phone: (508) 693-9900

The provider's authorized official is Seth H. Mosler .
The authorized official title is Business Manager and has the following contact phone number (508) 693-9900.

The CLIA number assigned to this NPI record is 22D2206810 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251300000XLocal Education Agency (LEA)VC6000181634MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VC6000181634MEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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