Provider Demographics
NPI:1962363838
Name:ORANGE EAST SUPERVISORY UNION
Entity type:Organization
Organization Name:ORANGE EAST SUPERVISORY UNION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAID CLERK
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-222-5216
Mailing Address - Street 1:PO BOX 396
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033
Mailing Address - Country:US
Mailing Address - Phone:802-222-5216
Mailing Address - Fax:802-222-4451
Practice Address - Street 1:64 MAIN STREET
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:VT
Practice Address - Zip Code:05033
Practice Address - Country:US
Practice Address - Phone:802-222-5216
Practice Address - Fax:802-222-4451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1004657Medicaid