Organization
ICARE PRIMARY CARE CLINIC, LLC
Active
Organization
ICARE PRIMARY CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIK CHRISTIAN PETERSEN D.O. (CHIEF MEDICAL OFFICER)
(816) 875-4325
Entity
Organization
Contact information
Practice address
550 RUSH CREEK PKWY, SUITE B, LIBERTY, MO 64068-9608
(816) 875-4325
(636) 237-8053
Mailing address
550 RUSH CREEK PKWY, SUITE B, LIBERTY, MO 64068-9608
(816) 875-4325
(636) 237-8053
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
FL001411027
MO
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up