SOUTHEAST, INC. (NPI# 1164800165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164800165 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST, INC. |
| Practice Address |
68353 Bannock Rd Saint Clairsville OH 43950-9736 |
| Mailing Address |
16 W Long St Columbus OH 43215-2815 |
| Practice Telephone | 7406959344 |
| Practice Fax Number | 7406957787 |
| Mailing Telephone | 6142250980 |
| Mailing Fax Number | 6142250991 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | MR. JOHN BELL (CFO) |
| Authorized Official Telephone | 6142250980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
H80CS22681 | OH | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982152799 | Southeast, Inc. | Clinic/Center | 924 E Main St, Columbus, OH 43205-2338 | 2016-09-21 |
| 1609284470 | Southeast, Inc. | Clinic/Center | 595 Van Buren Dr, Columbus, OH 43223-2230 | 2014-07-24 |
| 1962789222 | Southeast, Inc. | Clinic/Center | 315 E Long St, Columbus, OH 43215-1828 | 2011-11-14 |
| 1932169497 | Southeast, Inc. | Case Management | 16 W Long St, Columbus, OH 43215-2815 | 2006-03-27 |
| 1326688334 | Southeast, Inc. | Clinic/Center | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-01-08 |
| 1407491566 | Southeast, Inc. | Clinic/Center | 720 E Broad St, Columbus, OH 43215-3988 | 2019-11-13 |
| 1790217859 | Southeast, Inc. | Community/Behavioral Health | 1455 S 4th St, Columbus, OH 43207-1011 | 2017-03-29 |
| 1497292775 | Southeast, Inc. | Clinic/Center | 243 S Main St, Cadiz, OH 43907-1131 | 2017-01-25 |
| 1922406008 | Southeast, Inc. | Clinic/Center | 524 W Broad St, Columbus, OH 43215-2775 | 2014-12-05 |
| 1366703084 | Southeast, Inc. | Community/Behavioral Health | 16 W Long St, Columbus, OH 43215-2815 | 2012-05-30 |
| Street Address |
68353 BANNOCK RD |
| City | SAINT CLAIRSVILLE |
| State | OH |
| Zip Code | 43950-9736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336190842 | Community Mental Health Services | Clinic/Center | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2006-05-12 |
| 1366040404 | Elise Chabot | Student in an Organized Health Care Education/Training Program | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-10-12 |
| 1679170252 | Tracey Ann Stephen | Case Manager/Care Coordinator | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-10-06 |
| 1235736174 | Bianca Marissa Sanchez | Student in an Organized Health Care Education/Training Program | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-10-05 |
| 1821600859 | Taylor Miller | Case Manager/Care Coordinator | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-08-20 |
| 1487275814 | Justine Laree Taylor | Licensed Practical Nurse | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-04-27 |
| 1528690336 | Taylor Nicole Kinkus | Case Manager/Care Coordinator | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-02-10 |
| 1932739653 | Lauren Doyle | Social Worker | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-01-22 |
| 1417592064 | Marie Theresa Schenk | Licensed Practical Nurse | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2019-11-07 |
| 1841834413 | Stephanie Chuckery | Case Manager/Care Coordinator | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1326657891 | Taylor Gorby | Behavior Technician | 1 Halloran Dr, St. Clairsville, OH 43950 | 2020-07-30 |
| 1023627247 | Madison Emery | Behavior Technician | 1 Holloran Drive, St Clairsville, OH 43950 | 2020-07-23 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1053978817 | Mariah Lynn Hamilton | Behavior Technician | 1 Halloran Lane, St. Clairsville, OH 43950 | 2019-05-28 |
| 1083184717 | Maria Suzanne Shane | Behavior Technician | 1 Halloran Ln, Saint Clairsville, OH 43950 | 2018-11-26 |
| 1023592201 | Natisha Janelle Greathouse | Behavior Technician | 1 Halloran Park Lane, St Clairsville, OH 43950 | 2018-09-24 |
| 1285111039 | Bethany A Dawson | Dietitian, Registered | 66670 Anna Dr, Saint Clairsville, OH 43950 | 2018-07-24 |
| 1073004776 | Marsha M Woods | Social Worker | 67925 Bayberry Drive, Suite A, St. Clairsville, OH 43950 | 2018-05-29 |
| 1104314657 | Jorja L Johnson | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste 700, Saint Clairsville, OH 43950 | 2018-04-30 |
| Find all providers in zip 43950 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1669087649 | Community Health Centers of Greater Dayton | Clinic/Center | 2900 Shiloh Springs Rd, Ste Studio A, Trotwood, OH 45426-2139 | 2020-09-15 |
| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
| 1366068405 | Muskingum Valley Health Centers | Clinic/Center | 225 W Union Ave Ste 100, West Lafayette, OH 43845-1150 | 2020-06-24 |
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| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIRSVILLE |
| Zip Code | 43950 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.