Southeast, INC
NPI #1114893203 in Mount Gilead, Ohio
Provider Information
- NPI Number
- 1114893203
- 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
- Oct 15, 2025
- Last Updated
- Jan 16, 2026
Practice Location
- Address
- 950 MEADOW DR STE D
- City
- Mount Gilead
- State
- Ohio
- ZIP Code
- 43338-1389
- Phone
- (419) 949-2000
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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