SOUTHEAST INC. NPI 1932169497

NPI Information

NPI: 1932169497
Provider Name: SOUTHEAST, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
16 W LONG ST
COLUMBUS, OH
ZIP 43215
Phone: (614) 225-0980
Get Directions

SOUTHEAST, INC. is a mental health (including community mental health center) clinic center in Columbus, OH. SOUTHEAST, INC. NPI is 1932169497. The provider is registered as an organization entity type.

The provider's business location address is:

16 W LONG ST
COLUMBUS, OH
ZIP 43215-815
Phone: (614) 225-0980
Fax: (614) 225-0986

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 3/27/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251B00000X	Case Management		6723, 3040	OHIO	No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0300	OHIO	Yes
3	261QM0850X	Clinic/Center	Adult Mental Health	0300	OHIO	No
4	320800000X	Community Based Residential Treatment Facility, Mental Illness		0300	OHIO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2373177	MEDICAID	OHIO

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

NPI Synchronization or Removal

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