NPIMap

Organization Active NPI

Southeast, Inc

  • Community/Behavioral Health Agency
  • Saint Clairsville, OH
National Provider Identifier
1275959934
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
S. 1303581 Issued in OH
Legal business name
SOUTHEAST, INC
Practice address
68353 Bannock Rd
Saint Clairsville, OH 43950-9736
Phone
(740) 695-9344
NPI assigned
Mar 5, 2014
Last updated
Feb 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Barger-MercerNPI 1386784643
Title
Clinical Site Director
Phone
(740) 695-9344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X S. 1303581 OH Primary

Addresses

Primary practice location

68353 Bannock Rd
Saint Clairsville, OH 43950-9736

Mailing address

68353 Bannock Rd
Saint Clairsville, OH 43950-9736

National Provider Directory

National Provider Directory
Tax ID family
Southeast Inc Billing D22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1275959934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509736",
            "telephone_number": "740-695-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "BARGER-MERCER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CLINICAL SITE DIRECTOR",
        "authorized_official_telephone_number": "740-695-9344"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S. 1303581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.