Bay City Cru, LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

BAY CITY CRU, LLC

Practice address

3282 E North Union Rd
Bay City, MI 48706-2530

Phone

(989) 391-9036

Fax

(989) 391-9038

NPI assigned

Oct 28, 2024

Last updated

Oct 28, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Lebourdais, PA-CNPI 1447216999

Title

Director of Clinical Services

Phone

(989) 493-1451

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Anne Lebourdais, PA

  • Medical Physician Assistant
  • Saginaw, MI
  • NPI 1447216999
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1710709175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 WINTERWOOD LN",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486038673",
            "telephone_number": "989-493-1451",
            "fax_number": "989-401-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 E NORTH UNION RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062530",
            "telephone_number": "989-391-9036",
            "fax_number": "989-391-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY CRU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "LEBOURDAIS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "989-493-1451",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay Area Health Clinic PC
• Bay Area Physical Therapy, LLC
• Bay Area Physician Services PC
• Bay Arenac Behavioral Health
• Bay City Comfort Care
• Bay City Dental Clinic
• Bay City Neuropsychology, P.L.L.C.
• Bay City Odyssey House, Inc.
• Bay City Opco LLC (Carriage House Nursing and Rehab)
• Bay City Orthopedic Surgery PC (Terrence J. Cherwin, D. O.)

• Psychiatric Residential Treatment Facility in Bay City, MI
• Providers in Bay City, MI by specialty
• Psychiatric Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.