MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL
NPI 1366573198
Local Education Agency (LEA) in W. Tisbury, MA

Active since March 07, 2007CLIA 22D2206810 · Waiver
PO 1150, 424 STATE RD., W. TISBURY, MA 02575(508) 693-9900 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Martha's Vineyard Public Charter School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL (NPI 1366573198) is a healthcare organization registered as a local education agency (lea) in W. Tisbury, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through December 21, 2026 and lists Seth H. Mosler, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1366573198
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameMARTHA'S VINEYARD PUBLIC CHARTER SCHOOL
Location AddressPO 1150, 424 STATE RD.W. Tisbury, MA 02575
Mailing AddressPo 1150, 424 State Rd.W. Tisbury, MA 02575 · (508) 693-9900
Organization SubpartNo
Authorized OfficialSeth H. MoslerBusiness Manager · (508) 693-9900
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1366573198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
License Licensed in MA · VC6000181634
Definition

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.

PO 1150, W. Tisbury, MA 02575

Other Identifiers 1

MedicaidVC6000181634MA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2206810

Martha's Vineyard Public Charter School · West Tisbury, MA
Active · expires Dec 21, 2026
CLIA Number22D2206810
Laboratory TypeSchool/Student Health Service
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorTraci L. Monteith
Laboratory Phone(508) 693-9900
Laboratory LocationMartha's Vineyard Public Charter School424 State Rd, West Tisbury, MA 02575
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366573198, enumerated as an "organization" on March 07, 2007.

The provider is located at PO 1150 424 STATE RD. W. TISBURY, MA 02575 and the phone number is (508) 693-9900.

Local Education Agency (LEA) with taxonomy code 251300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.