Healthcare Provider Details

I. General information

NPI: 1033071717
Provider Name (Legal Business Name): MOUNT ABRAHAM UNIFIED SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 MUNSILL AVE STE 601
BRISTOL VT
05443-1048
US

IV. Provider business mailing address

72 MUNSILL AVE STE 601
BRISTOL VT
05443-1048
US

V. Phone/Fax

Practice location:
  • Phone: 802-453-6951
  • Fax: 802-453-2029
Mailing address:
  • Phone: 802-453-6951
  • Fax: 802-453-2029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: BETH MCGEORGE
Title or Position: DIRECTOR OF STUDENT SUPPORT SERVICE
Credential:
Phone: 802-453-3657