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OHIO ARMY NATIONAL GUARD NPI 1598175010


NPI Information

NPI: 1598175010
Provider Name: OHIO ARMY NATIONAL GUARD
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 36D2162066

Address:
3990 E BROAD ST
DSCC, BUILDING 11, SEC.11
COLUMBUS, OH
ZIP 43213
Phone: (614) 336-7393
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OHIO ARMY NATIONAL GUARD is a community behavioral health in Columbus, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. OHIO ARMY NATIONAL GUARD NPI is 1598175010. The provider is registered as an organization entity type.

The provider's business location address is:

3990 E BROAD ST
DSCC, BUILDING 11, SEC.11
COLUMBUS, OH
ZIP 43213-152
Phone: (614) 336-7393

The provider's authorized official is David Isaac Kirker .
The authorized official title is Clinical Therapist/social Worker and has the following contact phone number (614) 336-7393.

The CLIA number assigned to this NPI record is 36D2162066 - other - military clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/6/2014 and was last updated on 5/6/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251B00000XCase Management0900648OHIONo
2251S00000XCommunity/Behavioral Health0922648OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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