NPI 1164800165

Southeast, INC.

Organisation Federally Qualified Health Center (FQHC) Saint Clairsville, OH

Practice location

Address: 68353 Bannock Rd, Saint Clairsville, OH 43950-9736
Phone: (740) 695-9344
Fax: (740) 695-7787
Mailing address: 16 W Long St, Columbus, OH 43215-2815

Authorised official

Name: Charles Tong
Title: Cfo
Phone: (614) 813-0177

Registered specialties

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X Licence H80CS22681 (OH)

Other Clinic/Center providers in Ohio →

Registry record

NPI: 1164800165
Entity type: Organization
NPI issued: 11 May 2015
Record last updated: 16 Jan 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.