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Icare Primary Care Clinic, LLC

Substance Abuse Rehabilitation Facility in Liberty, MO · enumerated 2014 · authorized official Erik Petersen, Chief Medical Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699173757

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Registry record

Entity type Organization (Type 2)
Legal business name Icare Primary Care Clinic, LLC
Practice address 550 Rush Creek Pkwy, Suite B, Liberty, MO, 64068
Phone (816) 875-4325
Fax (636) 237-8053
Enumeration date Dec 5, 2014
Last updated in NPPES Dec 5, 2014

Taxonomy & classification

324500000X Substance Abuse Rehabilitation Facility Residential Treatment Facilities · License FL001411027 (MO) Primary

Authorized official

Name Erik Petersen
Title Chief Medical Officer
Phone (816) 875-4325

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Icare Primary Care Clinic, LLC?
Icare Primary Care Clinic, LLC is registered in NPPES as a Substance Abuse Rehabilitation Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-05.