Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Southeast Inc

Federally Qualified Health Center (FQHC) in Carrollton, OH · enumerated 2022 · authorized official Charles Tong, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265152680

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Registry record

Entity type Organization (Type 2)

Legal business name Southeast Inc

Parent organization Southeast Inc

Practice address 611 High St Nw, Carrollton, OH, 44615

Phone (330) 627-3954

Fax (330) 627-3984

Enumeration date Aug 29, 2022

Last updated in NPPES Jan 16, 2026

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Charles Tong

Title Cfo

Phone (614) 813-0177

Other identifiers

Identifier	Type	State	Issuer
0011867	Medicaid	OH	—

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Southeast Inc located?

The practice location on file with NPPES is in Carrollton, OH.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-01-16. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Jackolyn Van Horn Mental Health Counselor · Carrollton, OH NPI 1245852276 Wendy Gotschall Psychiatric/Mental Health Nurse Practitioner · Carrollton, OH NPI 1699656421

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-16.