HUMBOLDT FAMILY WALK-IN CLINIC LLC (NPI# 1881135895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881135895 |
| Entity Type | Organization |
| Organization Name | HUMBOLDT FAMILY WALK-IN CLINIC LLC |
| Practice Address |
1600 Coleman Dr Humboldt TN 38343-1756 |
| Mailing Address |
1600 Coleman Dr Humboldt TN 38343-0068 |
| Practice Telephone | 7314704020 |
| Practice Fax Number | 7315620349 |
| Mailing Telephone | 7314704020 |
| Mailing Fax Number | 7315620349 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | DEBORAH L GRAVES (OWNER) |
| Authorized Official Telephone | 7314704020 |
| Authorized Official Credential | MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
1600 COLEMAN DR |
| City | HUMBOLDT |
| State | TN |
| Zip Code | 38343-1756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1942774336 | Lisa Danielle Taylor | Occupational Therapy Assistant | 3513 Chere Carol Rd., Humboldt, TN 38343 | 2019-01-18 |
| 1336633916 | Rachel Mccarley | Physical Therapist | 2400mitchell St, Humboldt, TN 38343 | 2018-06-18 |
| 1346521911 | Barbara Jean Potts | Registered Nurse | 149 12th Street, Humboldt, TN 38343 | 2011-09-08 |
| 1871881920 | Joyce Ama Addo | Physician Assistant | 1804 Main Street, Rainbow Pediatric, Humboldt, TN 38343 | 2011-07-11 |
| 1508161126 | Rhatrenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 195 Turner's Loop, Humboldt, TN 38343 | 2011-01-12 |
| 1053616672 | Rha Trenton Mr Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 Turner's Loop, Humboldt, TN 38343 | 2011-01-12 |
| 1013219252 | Behavioral Outreach Services, LLC | Community/Behavioral Health | 142 Mason Cemetery Rd, Humboldt, TN 38343 | 2010-11-19 |
| 1528373131 | Edmon Jonh Moreno Hilario | Physical Therapist | 2400 Mitchell Street, Humboldt, TN 38343 | 2010-08-09 |
| 1326376948 | Humboldt Area Rescue Squad/ems | Ambulance | 2707 East End Drive, Humboldt, TN 38343 | 2009-11-19 |
| Find all providers in zip 38343 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1881112522 | Trinity Regional Medical Center | Clinic/Center | 1000 15th St N Ste A, Humboldt, IA 50548-1008 | 2017-09-01 |
| 1700180403 | The Family Physicians Pa | Clinic/Center | 111 S 9th, Humboldt, KS 66748-1809 | 2011-01-10 |
| 1649724923 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 1010 15th St N, Humboldt, IA 50548-1008 | 2016-08-04 |
| 1619246899 | Trimark Physicians Group | Clinic/Center | 1010 15th St N, Humboldt, IA 50548-1008 | 2011-12-18 |
| 1184793499 | Ashley Clinic LLC | Clinic/Center | 202 S 9th St, Humboldt, KS 66748-1908 | 2006-11-08 |
| 1992781082 | Trimark Physicians Group Inc | Clinic/Center | 1010 15th St N, Humboldt, IA 50548-1008 | 2005-12-20 |
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| 1588275317 | Henry County Medical Center | Clinic/Center | 300 Hospital Cir Ste 204, Paris, TN 38242-4597 | 2020-08-14 |
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| 1003425224 | Dickson Medical Associate, PC | Clinic/Center | 127 Crestview Park Dr Ste 205, Dickson, TN 37055-2856 | 2020-07-23 |
| 1023631454 | Spring City Family Clinic Pllc | Clinic/Center | 126 Lavender St Ste 2, Spring City, TN 37381-5102 | 2020-05-20 |
| 1871001271 | Shelbyville Hospital Company LLC | Clinic/Center | 1330 Cedar Ln Ste 100, Tullahoma, TN 37388-2284 | 2018-01-19 |
| 1720596125 | Shelbyville Hospital Company LLC | Clinic/Center | 1440 Cedar Ln Unit 100, Tullahoma, TN 37388-2262 | 2018-01-19 |
| 1548788458 | Shelbyville Hospital Company LLC | Clinic/Center | 1612 N Main St Ste A, Shelbyville, TN 37160-2392 | 2017-08-31 |
| 1063938520 | Mid-south Convenient Care, Pllc | Clinic/Center | 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024-2127 | 2017-08-16 |
| 1871034462 | Martin Health | Clinic/Center | 143 Kennedy Drive, Martin, TN 38237-3309 | 2017-03-15 |
| 1568905925 | Wellmont Health System | Clinic/Center | 1519 Main Street, Sneedville, TN 37869 | 2016-12-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.