ICO PRIMARY CARE, LLC
NPI 1811709363
Clinic/Center - Primary Care in Edmond, OK

Active since January 22, 2025
805 W COVELL RD STE 200, EDMOND, OK 73003(405) 216-5373 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ico Primary Care, Llc NPPES

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

ICO PRIMARY CARE, LLC (NPI 1811709363) is a healthcare organization registered as a primary care in Edmond, Oklahoma and active in the NPI registry since January 2025. The organization lists Kevin M Penwell, President, as its authorized official.

NPPES Registry Identity

NPI1811709363
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameICO PRIMARY CARE, LLC
Location Address805 W COVELL RD STE 200Edmond, OK 73003-2177
Mailing Address5701 Se 74th St Ste EOklahoma City, OK 73135-1110 · (405) 600-6869
Organization SubpartNo
Authorized OfficialKevin M PenwellPresident · (405) 600-6869
Enumeration DateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
NPI 1811709363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
805 W COVELL RD STE 200, Edmond, OK 73003

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 Ico Primary Care, LLC's NPI number?

The NPI number for Ico Primary Care, LLC is 1811709363. It was assigned to this organization in the NPPES registry on January 22, 2025.

Where is Ico Primary Care, LLC located?

Ico Primary Care, LLC is located at 805 W Covell Rd Ste 200, Edmond, OK 73003. The listed phone number is (405) 216-5373.

What is Ico Primary Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ico Primary Care, LLC was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.