OHIO ARMY NATIONAL GUARD
NPI 1598175010
Community/Behavioral Health in Columbus, OH

Active since May 06, 2014CLIA 36D2162066 · Waiver
3990 E BROAD ST, DSCC, BUILDING 11, SEC.11, COLUMBUS, OH 43213(614) 336-7393 Get Directions Write a Review

NPPES record last updated: May 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health
  • CLIA Number: 36D2162066
  • CLIA Cert. Type: Other - MILITARY CLINIC
  • CLIA Exp. Date: 02-14-2027

About OHIO ARMY NATIONAL GUARD

This page provides the complete NPI Profile along with additional information for Ohio Army National Guard, a provider established in Columbus, Ohio operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1598175010 assigned on May 2014. The practitioner's primary taxonomy code is 251S00000X with license number 0922648 (OH). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is David Isaac Kirker Lisw (Clinical Therapist/social Worker)

NPI
1598175010 Verify this NPI
Provider Name
OHIO ARMY NATIONAL GUARD
Entity Type
Organization
Location Address
3990 E BROAD ST DSCC, BUILDING 11, SEC.11 COLUMBUS, OH 43213
Location Phone
(614) 336-7393
Mailing Address
3990 E BROAD ST DSCC, BUILDING 11, SEC.11 COLUMBUS, OH 43213
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-06-2014
Last Update Date
05-06-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
0922648
License State
OH
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

0900648 (OH)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID ISAAC KIRKER LISW

Authorized Official Title
CLINICAL THERAPIST/SOCIAL WORKER
Authorized Official Phone
(614) 336-7393

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2162066
Facility Type
Other - MILITARY CLINIC
Certificate Effective Date
February 15, 2025
Certificate Expiration Date
February 14, 2027
Laboratory Director
BRETT A. CALL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ohio Army National Guard to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OHIO ARMY NATIONAL GUARD

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
3990 E BROAD ST, BLDG 11, SECTION 11
COLUMBUS, OH 43213
Nurse Practitioner (Family)
3990 E BROAD ST
COLUMBUS, OH 43213
Social Worker
3990 E BROAD ST
COLUMBUS, OH 43213
Preventive Medicine (Occupational Medicine)
3990 E BROAD ST, BUILDING 20 A POD, ROOM 143-S
COLUMBUS, OH 43213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598175010, enumerated as an "organization" on May 06, 2014.

The provider is located at 3990 E BROAD ST DSCC, BUILDING 11, SEC.11 COLUMBUS, OH 43213 and the phone number is (614) 336-7393.

Community/Behavioral Health with taxonomy code 251S00000X.