Provider Demographics
NPI:1366303596
Name:CALEDONIA CENTRAL SUPERVISORY UNION
Entity type:Organization
Organization Name:CALEDONIA CENTRAL SUPERVISORY UNION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-684-3801
Mailing Address - Street 1:P.O. BOX 216
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05828
Mailing Address - Country:US
Mailing Address - Phone:802-684-3801
Mailing Address - Fax:802-684-1190
Practice Address - Street 1:10 ROUTE 2 WEST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VT
Practice Address - Zip Code:05828
Practice Address - Country:US
Practice Address - Phone:802-684-3801
Practice Address - Fax:802-684-1190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1004529Medicaid