Icare Primary Care Clinic, Llc

LBN: Icare Primary Care Clinic, Llc
Icare Primary Care Clinic, Llc is an health care organization with primary practice located at 550 Rush Creek Pkwy Suite B, Liberty MO 64068-9608. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Icare Primary Care Clinic, Llc can be contacted via phone (816) 875-4325, or through Petersen, Erik Christian via phone (816) 875-4325.

Contact Information

Primary practice address
550 Rush Creek Pkwy Suite B Liberty MO 64068-9608
Phone: (816) 875-4325
Fax: (636) 237-8053
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Erik Christian Doctor of Osteopathy (DO)
Phone: (816) 875-4325

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X FL001411027 Missouri

Profile Details

NPI number 1699173757
LBN Legal business name Icare Primary Care Clinic, Llc
DBA Doing business as
Authorized official Petersen, Erik Christian Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2014
Last updated Dec 5th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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