Organization · Type 2 NPI

Southeast, Inc.

Federally Qualified Health Center (FQHC) · St. Clairsville, OH

NPI number 1164800165 Active

Practice location

68353 Bannock Rd
St. Clairsville, OH 43950-9736

Fax (740) 695-7787

Mailing address

16 W Long St
Columbus, OH 43215-2815

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XH80CS22681 (OH)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1164800165

Southeast, Inc.'s National Provider Identifier is 1164800165, issued on May 11, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in St. Clairsville, OH. The record was last updated on Jan 16, 2026.