Organization Active NPI

Martha's Vineyard Public Charter School

  • Local Education Agency (LEA)
  • W. Tisbury, MA
National Provider Identifier
1366573198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
VC6000181634 Issued in MA
Legal business name
MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL
Practice address
PO 1150
424 State Rd.
W. Tisbury, MA 02575
Phone
(508) 693-9900
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Seth H. Mosler
Title
Business Manager
Phone
(508) 693-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X VC6000181634 MA Primary

Addresses

Primary practice location

PO 1150
424 State Rd.
W. Tisbury, MA 02575

Mailing address

PO 1150
424 State Rd.
W. Tisbury, MA 02575
Phone (508) 693-9900

Other identifiers 1

IdentifierTypeStateIssuer
VC6000181634MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366573198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 1150",
            "address_2": "424 STATE RD.",
            "city": "W. TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "508-693-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO 1150",
            "address_2": "424 STATE RD.",
            "city": "W. TISBURY",
            "state": "MA",
            "postal_code": "02575",
            "telephone_number": "508-693-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSLER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "508-693-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "MA",
            "license": "VC6000181634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VC6000181634",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W. Tisbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.