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SOUTHEAST INC
NPI 1265152680
Clinic/Center - Federally Qualified Health Center (FQHC) in Carrollton, OH

Active since August 29, 2022
611 HIGH ST NW, CARROLLTON, OH 44615(330) 627-3954(330) 627-3984 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Aug 29, 2022 (2 updates tracked since 2022).

About Southeast Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST INC (NPI 1265152680), doing business as Southeast Healthcare, is a healthcare organization registered as a federally qualified health center (fqhc) in Carrollton, Ohio and active in the NPI registry since August 2022. The organization lists Charles Tong, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265152680
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST INC
Location Address611 HIGH ST NWCarrollton, OH 44615-1117
Mailing Address16 W Long StColumbus, OH 43215-2815 · (614) 225-0980
Phone(330) 627-3954
Fax(330) 627-3984
Organization SubpartYes
Authorized OfficialCharles TongCfo · (614) 813-0177
Enumeration DateAugust 29, 2022
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1265152680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
611 HIGH ST NW, Carrollton, OH 44615
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Other Names 1

Doing Business AsSoutheast Healthcare

Other Identifiers 1

Medicaid0011867OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACKOLYN MARIE VAN HORN M.ED, LPCC
Counselor (Mental Health)
611 HIGH ST NW
CARROLLTON, OH 44615
Carroll County (330) 627-3954
WENDY DAWN GOTSCHALL DNP, CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
611 HIGH ST NW
CARROLLTON, OH 44615
Carroll County (330) 627-3954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Inc's NPI number?

The NPI number for Southeast Inc is 1265152680. It was assigned to this organization in the NPPES registry on August 29, 2022. The provider is doing business as Southeast Healthcare.

Where is Southeast Inc located?

Southeast Inc is located at 611 High St NW, Carrollton, OH 44615. The listed phone number is (330) 627-3954.

What is Southeast Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Southeast Inc accept?

Health plans from CareSource and Molina Healthcare list Southeast Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Inc was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.