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SOUTHEAST, INC.
NPI 1922406008
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbus, OH

Active since December 05, 2014
524 W BROAD ST, COLUMBUS, OH 43215(614) 225-0980(614) 225-0991 Get Directions Write a Review

NPPES record last updated: October 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast, Inc. NPPES

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

SOUTHEAST, INC. (NPI 1922406008) is a healthcare organization registered as a federally qualified health center (fqhc) in Columbus, Ohio and active in the NPI registry since December 2014. The organization lists Charles Tong, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922406008
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST, INC.
Location Address524 W BROAD STColumbus, OH 43215-2775
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) 225-0980
Enumeration DateDecember 5, 2014
Last NPPES UpdateOctober 19, 2025
NPPES CertifiedOctober 19, 2025
✔ NPI 1922406008 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
License✔ Licensed in OH · 0300
524 W BROAD ST, Columbus, OH 43215
Open in Google Maps ↗

Other Identifiers 1

Medicaid0135524OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 14

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

LATANYA VENA TAYLOR
Counselor (Addiction (Substance Use Disorder))
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 225-0990
JILL R FETZER
Counselor (Mental Health)
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 662-1020
HALEY KITCHEN
Case Manager/Care Coordinator
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 662-1020
TRACI ROCHELLE BOSTIC
Case Manager/Care Coordinator
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 219-9375
KENYA RICKELLE CARTER CDCA
Counselor (Addiction (Substance Use Disorder))
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 360-0199
RICHARD STEWART
Counselor (Mental Health)
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 662-1020
MS. MICHELLE MARIE RITCHEY CDCA
Social Worker (Clinical)
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 357-6732
MICHAEL JOHN IRWIN LSW, MSW
Social Worker (Clinical)
524 W BROAD ST
COLUMBUS, OH 43215
Franklin County (614) 629-5114

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 1922406008. It was assigned to this organization in the NPPES registry on December 5, 2014.

Where is Southeast, Inc. located?

Southeast, Inc. is located at 524 W Broad St, Columbus, OH 43215. The listed phone number is (614) 225-0980.

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 Anthem Blue Cross and Blue Shield, 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 October 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.