| Southeast, Inc. | |
|
924 E Main St Columbus OH 43205-2338 | |
| (614) 360-0251 | |
| Not Available |
| Full Name | Southeast, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 924 E Main St, Columbus, Ohio |
| Authorized Official Name and Position | John Bell (CFO) |
| Authorized Official Contact | 6142250980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast, Inc. 16 W Long St Columbus OH 43215-2815 Ph: (614) 225-0980 | Southeast, Inc. 924 E Main St Columbus OH 43205-2338 Ph: (614) 360-0251 |
| NPI Number | 1982152799 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 12/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982152799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | H80CS22681-06-01 (Ohio) | Primary |
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