Common Ground

LBN: Common Ground
Common Ground is an health care organization with primary practice located at 1410 Telegraph Road , Pontiac MI 48332. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Common Ground can be contacted via phone (248) 341-3780, or through Prellberg, Emily Suzanne via phone (248) 554-5818.

Contact Information

Primary practice address
1410 Telegraph Road Pontiac MI 48332
Phone: (248) 341-3780
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prellberg, Emily Suzanne Registered Nurse (RN)
Phone: (248) 554-5818

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 4704298086 Michigan

Profile Details

NPI number 1104249374
LBN Legal business name Common Ground
DBA Doing business as
Authorized official Prellberg, Emily Suzanne Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2014
Last updated Jan 24th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104249374 NPPES
Michigan MEDICAID 2222222
Michigan MEDICAID 1111111

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