MEDICARE: GRAND ISLE SUPERVISORY UNION

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)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609738624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAND ISLE SUPERVISORY UNION

Provider Business Mailing Address
First Line	:	6441 US ROUTE 2
Second Line	:
City	:	N. HERO
State	:	VT
Zip	:	05474
Country	:	US
Telephone Number	:	802-373-2133
Fax Number	:	802-796-3653

Provider Business Practice Location Address
First Line	:	6441 US ROUTE 2
Second Line	:
City	:	N. HERO
State	:	VT
Zip	:	05474
Country	:	US
Telephone Number	:	802-373-2133
Fax Number	:

Authorized Official
Title or Position	:	MEDICAID COORDINATOR
Name	:	CINDY K. EDWARDS
Credential	:
Telephone Number	:	802-373-2133

Provider Enumeration Date	:	11/28/2025
Last Update Date	:	11/28/2025

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Directions to “GRAND ISLE SUPERVISORY UNION ” Practice Location

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