{"npi":"1982152799","type":"NPI-2","status":"active","name":{"display":"Southeast, Inc.","other":[],"organization_name":"SOUTHEAST, INC.","authorised_official":"Charles Tong"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"OH","license":"H80CS22681-06-01"}]},"addresses":[{"purpose":"LOCATION","street_1":"924 E MAIN ST","city":"COLUMBUS","state":"OH","postal_code":"432052338","country_code":"US","phone":"6143600251"},{"purpose":"MAILING","street_1":"16 W LONG ST","city":"COLUMBUS","state":"OH","postal_code":"432152815","country_code":"US","phone":"6142250990","fax":"6142250988"}],"license":{"state":"OH","number":"H80CS22681-06-01"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0193469","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20161025001228","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"OH","pac_id":"8426014853"}]},"enumeration_date":"2016-09-21","last_updated":"2026-01-16","_meta":{"source":"NPPES","snapshot_date":"2026-01-16","doc_url":"https://findmynpi.com/api"}}