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SOUTHEAST, INC.
NPI 1407491566
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbus, OH

Active since November 13, 2019
720 E BROAD ST, COLUMBUS, OH 43215(614) 225-0980(614) 225-0991 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 16, 2026, Feb 26, 2020, Nov 13, 2019 (3 updates tracked since 2019).

About Southeast, Inc. NPPES

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

SOUTHEAST, INC. (NPI 1407491566) is a healthcare organization registered as a federally qualified health center (fqhc) in Columbus, Ohio and active in the NPI registry since November 2019. The organization lists Charles Tong, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407491566
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST, INC.
Location Address720 E BROAD STColumbus, OH 43215-3988
Mailing Address16 W Long StColumbus, OH 43215-2815 · (614) 225-0980 · Fax (614) 225-0991
Phone(614) 225-0980
Fax(614) 225-0991
Organization SubpartNo
Authorized OfficialCharles TongCfo · (614) 813-0177
Enumeration DateNovember 13, 2019
Last NPPES UpdateJanuary 16, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1407491566 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
720 E BROAD ST, Columbus, OH 43215
Open in Google Maps ↗

Other Identifiers 1

Medicaid0388178OH

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

DR. KEVIN WILLIAM LUTZ DPM
Podiatrist (Foot & Ankle Surgery)
720 E BROAD ST, SUITE 100
COLUMBUS, OH 43215
Franklin County (614) 461-6634
SPECIALIZED ORTHOPAEDICS & SPORTS MEDICINE, INC.
Orthopaedic Surgery
720 E BROAD ST, SUITE 100
COLUMBUS, OH 43215
Franklin County (614) 461-6634
MR. WILLIAM D STANLEY DPT
Physical Therapist
720 E BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 224-1090
RACHEL A WEHRKAMP OTD, OTR/L
Occupational Therapist
720 E BROAD ST, NOVACARE REHABILITATION
COLUMBUS, OH 43215
Franklin County (614) 224-1090
ANDREA EHNI MOTR/L
Occupational Therapist
720 E BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 224-1090
DR. BREANNA GODFREY PT, DPT
Physical Therapist
720 E BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 224-1090
JENNA MARIE WASHABAUGH DPT
Physical Therapist (Orthopedic)
720 E BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 224-1090
MARK SCHULT PT, DPT
Physical Therapist
720 E BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 224-1090

Frequently Asked Questions

What is SOUTHEAST, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1407491566, enumerated as an "organization" on November 13, 2019.

Where is the provider located?

The provider is located at 720 E BROAD ST COLUMBUS, OH 43215 and the phone number is (614) 225-0980.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does SOUTHEAST, INC. accept?

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.