Active NPI
Martha's Vineyard Public Charter School
- Local Education Agency (LEA)
- W. Tisbury, MA
National Provider Identifier
1366573198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- VC6000181634
- 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, 2020
- 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
- Mr. Seth H. Mosler
- Title
- Business Manager
- Phone
- (508) 693-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VC6000181634 | Medicaid | MA |
National Provider Directory
National Provider DirectoryNPI 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.