TN PREMIER CARE LLC – NPI #1487081758
Clinic/Center

TN PREMIER CARE LLC is an AHC clinic located in KODAK, TN. NPPES has assigned the NPI number 1487081758 to TN PREMIER CARE LLC on October 02, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP3300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Pain

The NPI profile was previously updated about 6 years ago on Dec 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TN PREMIER CARE LLC below.

NPI Profile for
TN PREMIER CARE LLC

NPI Number
1487081758
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TN PREMIER CARE LLC
Primary location
3609 OUTDOOR SPORTSMAN PL STE 7
KODAK, TN 37764
Phone: (865) 281-5922 Fax: (865) 766-5396
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IAN CLARKE
OWNER
Phone: (865) 281-5922
Updated
Certification Date
Dec 10, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP3300X
- Clinic/Center / Pain (Primary)		 TN 397

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.