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GENESIS PRIMECARE
NPI 1053663690
Clinic/Center - Federally Qualified Health Center (FQHC) in Texarkana, TX

Active since October 05, 2012CLIA Certified · 3 labs
1400 COLLEGE DR, TEXARKANA, TX 75503(903) 791-1110(903) 791-9353 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2024, Aug 28, 2023, Jul 7, 2022 and 4 more (7 updates tracked since 2018).

About Genesis Primecare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS PRIMECARE (NPI 1053663690) is a healthcare organization registered as a federally qualified health center (fqhc) in Texarkana, Texas and active in the NPI registry since October 2012. The organization holds 3 active CLIA laboratory certificates and lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053663690
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TEXAS BORDER HEALTH CLINIC
Location Address1400 COLLEGE DRTexarkana, TX 75503-3536
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764
Phone(903) 791-1110
Fax(903) 791-9353
Organization SubpartNo
Authorized OfficialCarla RoadcapCeo · (903) 927-3782
Enumeration DateOctober 5, 2012
Last NPPES UpdateJune 13, 20247 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1053663690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
1400 COLLEGE DR, Texarkana, TX 75503
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Other Names 1

Doing Business AsGenesis Primecare

Other Identifiers 2

Medicaid192226202TX
Medicaid198049002AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 of Waiver 45D2144414

East Texas Border Health Clinic Dba Genesis Primecare · Texarkana, TX
Active · expires Feb 15, 2028
CLIA Number45D2144414
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorJeffory Beaty
Laboratory Phone(903) 791-1110
Laboratory LocationEast Texas Border Health Clinic Dba Genesis Primecare1400 College Drive, Texarkana, TX 75503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2132160

Genesis Primecare-Marshall Pediatrics · Marshall, TX
Active · expires Jun 12, 2027
CLIA Number45D2132160
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorJeffory Beaty
Laboratory Phone(903) 927-3782
Laboratory LocationGenesis Primecare-Marshall Pediatrics1900 North East End Blvd, Marshall, TX 75670
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2144412

East Texas Border Health Clinic Dba Genesis Primecare Ob · Texarkana, TX
Active · expires Feb 15, 2028
CLIA Number45D2144412
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorJeffory Beaty
Laboratory Phone(903) 614-5570
Laboratory LocationEast Texas Border Health Clinic Dba Genesis Primecare Ob1408 College Drive, Texarkana, TX 75503
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLI KAY SUTTON LPC
Counselor (Mental Health)
1400 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
MATTHEW NATHAN SPARKS PA-C
Physician Assistant
1400 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
DR. THOMAS ALSTON MD
Internal Medicine
1400 COLLEGE DR, STE 202
TEXARKANA, TX 75503
Bowie County (903) 735-5330
TERRI A ROWE LMSW
Case Manager/Care Coordinator
1400 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
EAST TEXAS BORDER HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
ANDREA YARBROUGH LPC
Counselor (Professional)
1400 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
EAST TEXAS BORDER HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110
HOLLY R EITEL
Nurse Practitioner (Family)
1400 COLLEGE DR
TEXARKANA, TX 75503
Bowie County (903) 791-1110

Frequently 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 1053663690. It was assigned to this organization in the NPPES registry on October 5, 2012. The provider is doing business as Genesis Primecare.

Where is East Texas Border Health Clinic located?

East Texas Border Health Clinic is located at 1400 College Dr, Texarkana, TX 75503. The listed phone number is (903) 791-1110.

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.

Does East Texas Border Health Clinic hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does East Texas Border Health Clinic accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Louisiana Healthcare Connections and 6 other insurers 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 June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.