NPIMap

Organization Active NPI

Southeast Inc

Doing business as Southeast Healthcare

  • Federally Qualified Health Center (FQHC)
  • New Philadelphia, OH
National Provider Identifier
1710607130
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHEAST INC
Doing business as
Southeast Healthcare
Practice address
344 W High Street
New Philadelphia, OH 44663-2152
Phone
(330) 339-7850
NPI assigned
Aug 29, 2022
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHEAST INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

344 W High Street
New Philadelphia, OH 44663-2152

Mailing address

PO Box 1809
Columbus, OH 43216-1809
Phone (614) 228-0980

Other identifiers 1

IdentifierTypeStateIssuer
0010446MedicaidOH

Other names 1

  • Southeast Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221107000649 OH Part A Provider - Federally Qualified Health Center (FQHC) 8426014853 Practice locations: New Philadelphia, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710607130. Details of each certification follow.

Federally qualified health center certification: CCN 721058

Legal name
SOUTHEAST INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 13, 2022
Last certification
Oct 13, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 9, 1978 in OH
Enrollment address
344 W High Ave
New Philadelphia, OH 44663-2152

Other NPIs with the same Medicare PAC ID 15

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 15

National Provider Directory

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

Other organizations with this tax ID 21

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

View all 21

Locations

344 W High Ave
New Philadelphia, OH 44663
Phone (330) 339-7850

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kori J Manus Individual Corporate OfficerTreasurer May 1, 2013
Thomas Burns Individual Corporate OfficerPresident Jan 18, 2023
Eileen M Goodman Individual Corporate OfficerSecretary Jan 18, 2023
Corporate DirectorBoard Member Mar 1, 2000
Tom Shanahan Individual Corporate DirectorBoard Member Jan 18, 2023
Thomas Patrick Halaiko Individual Corporate DirectorBoard Member Jul 1, 2014
Art Deleon Individual Corporate DirectorBoard Member Jan 18, 2023
Angela Fry Individual Corporate OfficerVice President Jan 18, 2023
Sarah Lenkay Individual Corporate DirectorBoard Member Jan 18, 2023
Timothy Wheat Individual Corporate DirectorBoard Member Jan 18, 2023
Dave Lane Individual Corporate DirectorChairman Sep 1, 2021
Steve Sielschott Individual Corporate DirectorBoard Member Jan 1, 2019
William F Lee Individual Corporate OfficerCeo Feb 1, 2018
Charles Chiahsing Tong Individual Corporate OfficerCfo May 5, 2025
Operational/Managerial ControlCfo May 5, 2025
Don Strasser Individual Corporate DirectorBoard Member Aug 1, 2018
Kate Hamilton Individual Corporate DirectorMember at Large Jul 1, 2014
Kim Krone Individual Corporate DirectorBoard Member Feb 1, 2016
Wendy Williams Individual Corporate OfficerCoo May 5, 2025
Operational/Managerial ControlChieft Operations Officer May 5, 2025

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1710607130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432161809",
            "telephone_number": "614-228-0980",
            "fax_number": "614-225-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 W HIGH STREET",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446632152",
            "telephone_number": "330-339-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEAST INC",
        "enumeration_date": "2022-08-29",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "614-813-0177"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010446",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.