Provider Demographics
NPI:1881563757
Name:ORANGE SOUTHWEST UNIFIED UNION SCHOOL DISTRICT
Entity type:Organization
Organization Name:ORANGE SOUTHWEST UNIFIED UNION SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-728-9844
Mailing Address - Street 1:24 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:VT
Mailing Address - Zip Code:05060-1024
Mailing Address - Country:US
Mailing Address - Phone:802-728-9844
Mailing Address - Fax:802-728-4243
Practice Address - Street 1:24 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:VT
Practice Address - Zip Code:05060-1024
Practice Address - Country:US
Practice Address - Phone:802-728-9844
Practice Address - Fax:802-728-4243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)