=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700740693
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADDISON CENTRAL SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/15/2025
-----------------------------------------------------
Last Update Date | 12/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 49 CHARLES AVE
-----------------------------------------------------
City | MIDDLEBURY
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05753-1553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-382-1274
-----------------------------------------------------
Fax | 802-388-0024
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 49 CHARLES AVE
-----------------------------------------------------
City | MIDDLEBURY
-----------------------------------------------------
State | VT
-----------------------------------------------------
Zip | 05753-1553
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 802-382-1274
-----------------------------------------------------
Fax | 802-388-0024
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF FINANCE & OPERATIONS
-----------------------------------------------------
Name | MATTHEW COMENTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 802-388-1280
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------