MEDICARE: MILL RIVER UNIFIED UNION SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1457220162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILL RIVER UNIFIED UNION SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	2321 MIDDLE RD STE 1
Second Line	:
City	:	NORTH CLARENDON
State	:	VT
Zip	:	05759-9501
Country	:	US
Telephone Number	:	802-786-3998
Fax Number	:	802-775-8063

Provider Business Practice Location Address
First Line	:	2321 MIDDLE RD STE 1
Second Line	:
City	:	NORTH CLARENDON
State	:	VT
Zip	:	05759-9501
Country	:	US
Telephone Number	:	802-786-3998
Fax Number	:	802-775-8063

Authorized Official
Title or Position	:	ADMINISTRATIVE ASST./MEDICAID CLERK
Name	:	DEBORAH BISSETTE
Credential	:
Telephone Number	:	802-786-3998

Provider Enumeration Date	:	10/31/2025
Last Update Date	:	10/31/2025

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