Organization
FIRST PERSON CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ELLAZAR JACOB (COMPLIANCE DIRECTOR)
(702) 380-8118
Entity
Organization
Contact information
Practice address
1200 S 4TH ST STE 111, LAS VEGAS, NV 89104-1046
(702) 380-8118
(702) 380-2929
Mailing address
1200 S 4TH ST STE 111, LAS VEGAS, NV 89104-1046
(702) 380-8118
(702) 380-2929
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548629132
—
NV
05
—
1710499264
—
NV
Enumeration date
11/01/2019
Last updated
11/01/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us