NPIMap

Organization Active NPI

South Metro Human Services Dba Radias Health

  • Community/Behavioral Health Agency
  • St Paul, MN
National Provider Identifier
1346314820
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH
Practice address
1435 Grand Ave
St Paul, MN 55105
Phone
(651) 340-7939
Fax
(651) 340-7951
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Tom Paul
Title
President
Phone
(651) 256-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1435 Grand Ave
St Paul, MN 55105

Mailing address

1435 Grand Ave
St Paul, MN 55105
Phone (651) 340-7939

Other identifiers 1

IdentifierTypeStateIssuer
356797401MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
South Metro Human Services-Act Blue20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1346314820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 GRAND AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-340-7939",
            "fax_number": "651-340-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 GRAND AVE",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-340-7939",
            "fax_number": "651-340-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO HUMAN SERVICES DBA RADIAS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-256-1234"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "356797401",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.