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SOUTHEAST INC. NPI 1922406008


NPI Information

NPI: 1922406008
Provider Name: SOUTHEAST, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
524 W BROAD ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 225-0980
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SOUTHEAST, INC. is a federally qualified health center (fqhc) clinic center in Columbus, OH. SOUTHEAST, INC. NPI is 1922406008. The provider is registered as an organization entity type.

The provider's business location address is:

524 W BROAD ST
COLUMBUS, OH
ZIP 43215-775
Phone: (614) 225-0980
Fax: (614) 225-0991

The provider's authorized official is John Bell .
The authorized official title is Cfo and has the following contact phone number (614) 225-0980.

The enumeration date for this NPI number is 12/5/2014 and was last updated on 12/27/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)0300OHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.