OrganizationActive
Southeast, Inc.
NPI 1194002857 · Federally Qualified Health Center (FQHC) · Columbus, OH
Provider details
- NPI number
- 1194002857
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Tong, Cfo(614) 813-0177
- License
- H80CS22681-01-00 (OH)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16 W Long St
Columbus, OH 43215-2815
Phone: (614) 225-0980
Fax: (614) 225-0986
Street-level locationGet directions
Mailing address
16 W Long St
Columbus, OH 43215-2815
Registry dates
- Enumerated
- 2011-11-09
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.