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Clc of Humboldt, LLC

Skilled Nursing Facility in Humboldt, TN · enumerated 2005 · authorized official Douglas Wright, Managing Member.

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

National Provider Identifier

1275523854

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Registry record

Entity type Organization (Type 2)
Legal business name Clc of Humboldt, LLC
Other name <Unavail>
Practice address 2400 E Mitchell St, Humboldt, TN, 38343
Phone (731) 784-5183
Fax (731) 784-1562
Enumeration date Oct 25, 2005
Last updated in NPPES Jan 28, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 0000000088 (TN) Primary

Authorized official

Name Douglas Wright
Title Managing Member
Phone (662) 680-3148

Other identifiers

Identifier Type State Issuer
744-0208 Medicaid TN -

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.

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Frequently asked questions

Where is Clc of Humboldt, LLC located?
The practice location on file with NPPES is in Humboldt, TN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-01-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-01-28.