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ICARE PRIMARY CARE CLINIC, LLC
NPI 1699173757
Substance Abuse Rehabilitation Facility in Liberty, MO

Active since December 05, 2014
550 RUSH CREEK PKWY, SUITE B, LIBERTY, MO 64068(816) 875-4325(636) 237-8053 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Icare Primary Care Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICARE PRIMARY CARE CLINIC, LLC (NPI 1699173757) is a healthcare organization registered as a substance abuse rehabilitation facility in Liberty, Missouri and active in the NPI registry since December 2014. The organization lists Erik Christian Petersen, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1699173757
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameICARE PRIMARY CARE CLINIC, LLC
Location Address550 RUSH CREEK PKWY, SUITE BLiberty, MO 64068-9608
Mailing Address550 Rush Creek Pkwy, Suite BLiberty, MO 64068-9608 · (816) 875-4325 · Fax (636) 237-8053
Phone(816) 875-4325
Fax(636) 237-8053
Organization SubpartNo
Authorized OfficialErik Christian PetersenChief Medical Officer · (816) 875-4325
Enumeration DateDecember 5, 2014
✔ NPI 1699173757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MO · FL001411027
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

550 RUSH CREEK PKWY, Liberty, MO 64068
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. THOMAS CRAIG BOLDRY DPM
Podiatrist
550 RUSH CREEK PKWY, SUITE A
LIBERTY, MO 64068
Clay County (816) 455-1155
MRS. JULIE JEANETTE JONES DPM
Podiatrist
550 RUSH CREEK PKWY, SUITE A
LIBERTY, MO 64068
Clay County (816) 455-1155
MR. PAUL OWEN GORBY DPM
Podiatrist
550 RUSH CREEK PKWY, SUITE A
LIBERTY, MO 64068
Clay County (816) 455-1155
LIBERTY MEDICINE SPECIALISTS, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
550 RUSH CREEK PKWY, STE B
LIBERTY, MO 64068
Clay County (816) 781-8100
MATTHEW DEAN NIELSEN DPM
Podiatrist (Foot & Ankle Surgery)
550 RUSH CREEK PKWY, SUITE A
LIBERTY, MO 64068
Clay County (816) 455-1155
ICARE PRIMARY CARE
Exclusive Provider Organization
550 RUSH CREEK PKWY, SUITE B
LIBERTY, MO 64068
Clay County (816) 875-4325

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Icare Primary Care Clinic, LLC's NPI number?

The NPI number for Icare Primary Care Clinic, LLC is 1699173757. It was assigned to this organization in the NPPES registry on December 5, 2014.

Where is Icare Primary Care Clinic, LLC located?

Icare Primary Care Clinic, LLC is located at 550 Rush Creek Pkwy Suite B, Liberty, MO 64068. The listed phone number is (816) 875-4325.

What is Icare Primary Care Clinic, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Icare Primary Care Clinic, LLC was last updated on December 5, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.