Southeast INC

NPI #1073262481 in Columbus, Ohio

Provider Information

NPI Number
1073262481
Entity Type
Organization
Organization Name
Southeast INC
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEAST INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 22, 2022
Last Updated
Jan 16, 2026

Practice Location

Address
1455 S 4TH ST
State
Ohio
ZIP Code
43207-1011
Phone
(614) 225-0980

Authorized Official

Name
CHARLES TONG
Title
CFO
Phone
(614) 813-0177

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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