Southeast INC

NPI #1689394900 in Shadyside, Ohio

Provider Information

NPI Number
1689394900
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
3795 LEONA AVE
State
Ohio
ZIP Code
43947-1367
Phone
(614) 225-0991

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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