| Southeast Healthcare | |
|
37990 Airport Rd Woodsfield OH 43793-9247 | |
| (614) 255-0990 | |
| (614) 225-0991 |
| Full Name | Southeast Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 37990 Airport Rd, Woodsfield, Ohio |
| Authorized Official Name and Position | Charles Tong (CFO) |
| Authorized Official Contact | 6148130177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Healthcare Po Box 1809 Columbus OH 43216-1809 Ph: (614) 225-0980 | Southeast Healthcare 37990 Airport Rd Woodsfield OH 43793-9247 Ph: (614) 255-0990 |
| NPI Number | 1497402507 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 01/16/2026 |
| Certification Date | 01/16/2026 |
| Medicare PECOS PAC ID | 8426014853 |
|---|---|
| Medicare Enrollment ID | O20220708001012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497402507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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Department of Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 S Main St, Woodsfield, OH 43793 Phone: 740-472-1330 Fax: 740-472-1336 |