Organization · Type 2 NPI
Southeast Inc
Federally Qualified Health Center (FQHC) · Shadyside, OH
NPI number
1689394900
Active
Practice location
3795 Leona Ave
Shadyside, OH 43947-1367
Mailing address
16 W Long St
Columbus, OH 43215-2815
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1689394900
Southeast Inc's National Provider Identifier is 1689394900, issued on Aug 29, 2022. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Shadyside, OH. The record was last updated on Jan 16, 2026.