EAST TEXAS BORDER HEALTH CLINIC
NPI 1023630969
Clinic/Center - Federally Qualified Health Center (FQHC) in Marshall, TX
About East Texas Border Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST TEXAS BORDER HEALTH CLINIC (NPI 1023630969) is a healthcare organization registered as a federally qualified health center (fqhc) in Marshall, Texas and active in the NPI registry since May 2020. The organization holds a CLIA Microscopy certificate valid through January 24, 2028 and lists Carla Roadcap, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Texas Border Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
49Medicare enrollment records show 49 clinicians reassign Medicare billing to East Texas Border Health Clinic, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 49Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0720060
East Texas Border Health Clinic Dba Genesis Primecare-Marshall Ob · Marshall, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is East Texas Border Health Clinic's NPI number?
The NPI number for East Texas Border Health Clinic is 1023630969. It was assigned to this organization in the NPPES registry on May 14, 2020.
Where is East Texas Border Health Clinic located?
East Texas Border Health Clinic is located at 622 S Grove St, Marshall, TX 75670. The listed phone number is (903) 702-7900.
What is East Texas Border Health Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is East Texas Border Health Clinic enrolled in Medicare?
Yes. East Texas Border Health Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Texas Border Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 49 clinicians in 6 Medicare specialties reassign their Medicare billing to East Texas Border Health Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Mental Health Counselor (7) and Pediatric Medicine (7). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Texas Border Health Clinic hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0720060) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does East Texas Border Health Clinic accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list East Texas Border Health Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for East Texas Border Health Clinic was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# East Texas Border Health Clinic · NPI 1023630969
Federally Qualified Health Center (FQHC) organization in Marshall, Texas. Organization record, active in the CMS NPPES registry since May 14, 2020.
## Identity
- **NPI:** 1023630969 (Entity type: Organization)
- **Enumerated:** May 14, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of East Texas Border Health Clinic)
- **Authorized official:** Carla Roadcap, CEO
## Practice location
- **Address:** 622 S GROVE ST, Marshall, TX 75670-5251
- **Phone:** (903) 702-7900 · **Fax:** (903) 702-7904
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 49 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (24), Mental Health Counselor (7), Pediatric Medicine (7); 12 practice within 10 miles; [full list](https://npiprofile.com/npi/1023630969/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1023630969) · Data from the CMS NPPES public registry.