| Southeast Inc | |
|
3869 Soldier St Columbus OH 43232-4980 | |
| (614) 225-0990 | |
| Not Available |
| Full Name | Southeast Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3869 Soldier St, Columbus, Ohio |
| Authorized Official Name and Position | Charles Tong (CFO) |
| Authorized Official Contact | 6143600103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Inc 3869 Soldier St Columbus OH 43232-4980 | Southeast Inc 3869 Soldier St Columbus OH 43232-4980 Ph: (614) 225-0990 |
| NPI Number | 1154243202 |
|---|---|
| Provider Enumeration Date | 07/29/2026 |
| Last Update Date | 07/29/2026 |
| Certification Date | 07/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154243202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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