Provider Demographics
NPI:1003170986
Name:KIPP BRIDGE CHARTER SCHOOL
Entity Type:Organization
Organization Name:KIPP BRIDGE CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTKUS THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-465-5477
Mailing Address - Street 1:1404 FRANKLIN ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3210
Mailing Address - Country:US
Mailing Address - Phone:510-465-5477
Mailing Address - Fax:510-465-5520
Practice Address - Street 1:991 14TH ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-3230
Practice Address - Country:US
Practice Address - Phone:510-465-5477
Practice Address - Fax:510-465-5520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)