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Clc of Jackson, LLC

Skilled Nursing Facility in Jackson, MS · enumerated 2005 · authorized official Douglas Wright, Managing Member.

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

National Provider Identifier

1689664765

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Registry record

Entity type Organization (Type 2)
Legal business name Clc of Jackson, LLC
Other name <Unavail>
Practice address 1600 Raymond Rd, Jackson, MS, 39204
Phone (601) 371-1700
Fax (601) 371-1006
Enumeration date Oct 28, 2005
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 612 (MS) Primary

Authorized official

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

Other identifiers

Identifier Type State Issuer
0230178 Medicaid MS -

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

Who is the authorized official for Clc of Jackson, LLC?
NPPES lists Douglas Wright (Managing Member) as the authorized official for this organization.
What is the NPI number for Clc of Jackson, LLC?
The NPI for Clc of Jackson, LLC is 1689664765, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.