Southeast INC

NPI #1265152680 in Carrollton, Ohio

Provider Information

NPI Number
1265152680
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
Aug 29, 2022
Last Updated
Jan 16, 2026

Practice Location

Address
611 HIGH ST NW
State
Ohio
ZIP Code
44615-1117
Phone
(330) 627-3954

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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