# PREMIER CARE MEDICAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164069084
- **Authorized official:** MR. IAN P CLARKE (OWNER)
- **Authorized official phone:** (865) 281-5922

## Contact information

- **Practice address:** 3609 OUTDOOR SPORTSMAN PL STE 7, KODAK, TN 37764-1477
- **Practice address phone:** (865) 210-3452
- **Mailing address:** 3609 OUTDOOR SPORTSMAN PL STE 7, KODAK, TN 37764-1477
- **Mailing address phone:** (865) 210-3452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 12/10/2019