Southeast, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Columbus, OH. Organization (NPI-2).
NPI number1982152799
StatusActive
Last updated in NPPESJan 16, 2026
Details
- NPI
- 1982152799
- Entity type
- Organization (NPI-2)
- Legal business name
- Southeast, INC.
- Organization subpart
- No
- Enumeration date
- Sep 21, 2016
- Certification date
- Jan 16, 2026
- Last updated
- Jan 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | H80CS22681-06-01 | OH | Yes |
Practice location
924 E Main StColumbus, OH 43205-2338
Phone 614-360-0251
Mailing address
16 W Long StColumbus, OH 43215-2815
Phone 614-225-0990 · Fax 614-225-0988
Authorized official
Charles Tong
Cfo
6148130177
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