Radiant Health Services

LBN: Grant-Blackford Mental Health, Inc.
Radiant Health Services is an health care organization with primary practice located at 505 N Wabash Ave , Marion IN 46952-2608. The organization recently has only one registered license in Hospital Units / Psychiatric Unit, which is considered as the primary health care specialty. Grant-Blackford Mental Health, Inc. can be contacted via phone (765) 662-3971, or through Dominisse, Lisa A. via phone (765) 668-6713.

Contact Information

Primary practice address
505 N Wabash Ave Marion IN 46952-2608
Phone: (765) 662-3971
Fax: (765) 662-7480
Website:
Map and Directions
Authorized official contact:
Name: Dominisse, Lisa A.
Phone: (765) 668-6713

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 414-0-CMHC Indiana

Profile Details

NPI number 1952447013
LBN Legal business name Grant-Blackford Mental Health, Inc.
DBA Doing business as Radiant Health Services
Authorized official Dominisse, Lisa A.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated Sep 8th, 2023 - about last year

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 1952447013 NPPES
Indiana MEDICAID 100273390

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