PREMIER CARE MEDICAL (NPI# 1164069084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164069084 |
| Entity Type | Organization |
| Organization Name | PREMIER CARE MEDICAL |
| Practice Address |
3609 Outdoor Sportsman Pl Ste 7 Kodak TN 37764-1477 |
| Practice Telephone | 8652103452 |
| Mailing Telephone | 8652103452 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Authorized Official Name | MR. IAN P CLARKE (OWNER) |
| Authorized Official Telephone | 8652815922 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER CARE MEDICAL OF LEVITTOWN, PLLC | 99 Washington Avenue, Suite 1008, Albany, New York 12260 |
| New York State Corporations | PREMIER CARE MEDICAL SUPPLIES INC. | 735 Lincoln Avenue - Apt. #9u, Brooklyn, Ny 11208 |
| Virginia Business Entities | PREMIER CARE MEDICAL TRANSPORT INC. | |
| Colorado Business Entities | PREMIER CARE MEDICAL TRANSPORTATION LLC | 1680 Keith Drive, Colorado Springs, CO 80916 |
| Street Address |
3609 OUTDOOR SPORTSMAN PL STE 7 |
| City | KODAK |
| State | TN |
| Zip Code | 37764-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487081758 | Tn Premier Care LLC | Clinic/Center | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764 | 2013-10-02 |
| 1144719808 | Tn Premier Care LLC | Durable Medical Equipment & Medical Supplies | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764 | 2018-05-08 |
| 1104364918 | Ursula Treadaway | Physician Assistant | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764-1477 | 2017-02-01 |
| 1881060168 | Franklin Ryan Farmer | Nurse Practitioner | 3609 Outdoor Sportsman Pl Ste 7, Kodak, TN 37764-1477 | 2015-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326306861 | Benjamin Michael Blanton | Nurse Practitioner | 946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764 | 2012-05-02 |
| 1477677474 | Eugene Woody Stinson | Dentist | 2946 Winfield Dunn Pkwy, Ste #301, Kodak, TN 37764 | 2007-03-17 |
| 1861828816 | Benjamin Joseph Wittman | Physical Therapist | 2946 Winfield Dunn Pkwy Ste 106, Kodak, TN 37764 | 2013-09-23 |
| 1902078587 | Roger Dale Barnes | Registered Nurse | 2946 Winfield Dunn Parkway, Suite 107, Kodak, TN 37764 | 2008-03-24 |
| 1912914219 | Tiffinie A. Allen-evans | Dentist | 9618 Gunnies Dr, Kodak, TN 37764-1107 | 2006-08-01 |
| 1922565225 | Karen Lynn Lester | Nurse Practitioner | 3651 Winfield Dunn Pkwy, Kodak, TN 37764-1471 | 2019-02-23 |
| 1194282491 | Deborah Clay Sellers-mooney | Nurse Practitioner | 3651 Winfield Dunn Pkwy, Kodak, TN 37764-1471 | 2019-02-23 |
| 1134376171 | Precious Metals L.lc. | Non-emergency Medical Transport (VAN) | 3309 Mutton Hollow Rd, Kodak, TN 37764-1689 | 2008-08-21 |
| 1194254771 | Virginia Hawley | Physical Therapist | 2845 Jones Way, Kodak, TN 37764-1747 | 2017-06-07 |
| 1629019716 | Bryan C Loveday | Nurse Anesthetist, Certified Registered | 1014 Kodak Rd, Kodak, TN 37764-1920 | 2006-06-09 |
| Find all providers in zip 37764 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749906 | Three Rivers Medical | Clinic/Center | 2725 E Governor John Sevier Hwy, Knoxville, TN 37914-6620 | 2020-04-22 |
| 1487273702 | Sanitas Medical Center of Tennessee PC | Clinic/Center | 1632 Memorial Blvd Ste 1646, Murfreesboro, TN 37129-2104 | 2020-04-16 |
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1194380568 | Advanced Urgent Care Pllc | Clinic/Center | 455 N Chancery St Ste A, Mcminnville, TN 37110-2049 | 2019-05-01 |
| 1295208874 | Lwc Sevice Providers LLP | Clinic/Center | 111 Ellison Rd Ste 2, La Follette, TN 37766-3025 | 2019-01-07 |
| 1639655368 | Bunker Hill Staffing Urgent Care LLC | Clinic/Center | 1300 Bunker Hill Rd Ste B, Cookeville, TN 38506 | 2018-07-16 |
| 1386159523 | Wellmont Medical Associates, Inc. | Clinic/Center | 1021 Coolidge St Ste 4, Greeneville, TN 37743-5986 | 2017-12-11 |
| 1245754043 | Green River Medical Clinic, LLC | Clinic/Center | 315 Robert Rose Dr Ste F, Murfreesboro, TN 37129-6361 | 2017-08-02 |
| 1235669680 | Uhs Ventures | Clinic/Center | 1130 Middle Creek Rd Ste 290, Sevierville, TN 37862-3051 | 2017-06-19 |
| 1477087658 | Urgent Care Enterprise LLC | Clinic/Center | 5304 Cane Ridge Rd, Antioch, TN 37013-3839 | 2017-04-14 |
| 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.