Provider Demographics
NPI:1467334953
Name:BRIDGE ACADEMY
Entity type:Organization
Organization Name:BRIDGE ACADEMY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE/MEDICAID COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RUNYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-369-9500
Mailing Address - Street 1:2455 S INDUSTRIAL HWY
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6122
Mailing Address - Country:US
Mailing Address - Phone:734-369-9500
Mailing Address - Fax:
Practice Address - Street 1:2455 S INDUSTRIAL HWY
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-6122
Practice Address - Country:US
Practice Address - Phone:734-369-9500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)