Organization1st Clark County Medical Clinic LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4530 S Eastern Ave Ste 4, Las Vegas, NV 89119-6181(702) 485-3450PECOS EnrollmentBased on the most recent information from CMS, provider 1st Clark County Medical Clinic Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1649029794Provider TypeOrganizationFull Name1st Clark County Medical Clinic LlcSubpartNoEnumeration Date5/13/2024Last Updated5/13/2024Contact InformationPractice LocationPractice Address4530 S Eastern Ave Ste 4, Las Vegas, NV 89119-6181Phone(702) 485-3450FaxUnlisted FaxMailing LocationMailing Address4530 S Eastern Ave Ste 4, Las Vegas, NV 89119-6181Phone(702) 485-3450FaxUnlisted FaxAuthorized OfficialNameJacinto, Chris (Ceo)Phone(702) 485-3450Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode2084P0800XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer