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Southeast, Inc.
Federally Qualified Health Center (FQHC) in Columbus, Ohio
NPI 1407491566

Southeast, Inc. is a Federally Qualified Health Center (FQHC) based in Columbus, OH and is specialized in Federally Qualified Health Center (FQHC). Southeast, Inc. practices in Columbus, OH. The NPI Number for Southeast, Inc. is 1407491566 and holds a License No. (Ohio).

The current practice location address for Southeast, Inc. is 720 E Broad St, Columbus, OH and can be reached out via phone at 614-225-0980 and via fax at 614-225-0991.

Location: 720 E Broad St, Columbus, OH, 43215-2815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407491566
Provider Name
Southeast, Inc.
Credential
Provider Entity Type
Organization
Address
720 E Broad St, Columbus, OH, 43215-2815
Phone Number
614-225-0980
Fax Number
614-225-0991
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0065539 05 OH
institution
Provider Business Practice Location Address Details
Address
720 E Broad St
City
Columbus
State
Ohio
Zip
43215-3988
Phone Number
614-225-0980
Fax Number
614-225-0991
person
Provider Business Mailing Address Details
Address
720 E Broad St
City
Columbus
State
Ohio
Zip
43215-3988
Phone Number
614-225-0980
Fax Number
614-225-0991
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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