MEDICARE: FIRST PERSON CARE CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	208000000X	Pediatrics Physician
2	261QD0000X	Dental Clinic/Center	NV
3	101YM0800X	Mental Health Counselor
4	261QF0050X	Non-Surgical Family Planning Clinic/Center
5	251S00000X	Community/Behavioral Health Agency	NV
6	261QI0500X	Infusion Therapy Clinic/Center
7	261QM1300X	Multi-Specialty Clinic/Center
8	1041C0700X	Clinical Social Worker
9	261QP2300X	Primary Care Clinic/Center
10	207V00000X	Obstetrics & Gynecology Physician
11	207RI0200X	Infectious Disease Physician
12	261QF0400X	Federally Qualified Health Center (FQHC)	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710499264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST PERSON CARE CLINIC

Provider Business Mailing Address
First Line	:	PO BOX 270790
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89127-4790
Country	:	US
Telephone Number	:	888-795-1110
Fax Number	:	702-380-2929

Provider Business Practice Location Address
First Line	:	200 E HORIZON DR
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-8033
Country	:	US
Telephone Number	:	702-380-8118
Fax Number	:	702-380-2929

Authorized Official
Title or Position	:	HR DIRECTOR
Name	:	BRIANNA WASHINGTON
Credential	:
Telephone Number	:	702-380-8118

Provider Enumeration Date	:	10/24/2017
Last Update Date	:	01/13/2026

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Directions to “FIRST PERSON CARE CLINIC ” Practice Location

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