GENESISPRIMECARE
NPI 1083006084
Clinic/Center - Federally Qualified Health Center (FQHC) in Texarkana, TX

Active since February 27, 2015
1400 COLLEGE DR, TEXARKANA, TX 75503(903) 791-1110(903) 791-9353 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2023, Jul 7, 2022, Sep 3, 2020 and 3 more (6 updates tracked since 2018).

About Genesisprimecare NPPES

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

GENESISPRIMECARE (NPI 1083006084) is a healthcare organization registered as a federally qualified health center (fqhc) in Texarkana, Texas and active in the NPI registry since February 2015. The organization lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083006084
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
Fax(903) 791-9353
Organization SubpartNo
Authorized OfficialCarla RoadcapCeo · (903) 927-3782
Enumeration DateFebruary 27, 2015
Last NPPES UpdateAugust 28, 20236 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1083006084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1400 COLLEGE DR, Texarkana, TX 75503

Other Names 1

Doing Business AsGenesisprimecare

Other Identifiers 2

Medicaid347907301TX
Medicaid211550002AR

Accepted Insurance

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.

Counselor (Mental Health)
1400 COLLEGE DR
TEXARKANA, TX 75503
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 COLLEGE DR
TEXARKANA, TX 75503
Physician Assistant
1400 COLLEGE DR
TEXARKANA, TX 75503
Internal Medicine
1400 COLLEGE DR, STE 202
TEXARKANA, TX 75503
Case Manager/Care Coordinator
1400 COLLEGE DR
TEXARKANA, TX 75503
Counselor (Professional)
1400 COLLEGE DR
TEXARKANA, TX 75503
Clinic/Center (Federally Qualified Health Center (FQHC))
1400 COLLEGE DR
TEXARKANA, TX 75503
Nurse Practitioner (Family)
1400 COLLEGE DR
TEXARKANA, TX 75503

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 1083006084. It was assigned to this organization in the NPPES registry on February 27, 2015. The provider is doing business as Genesisprimecare.

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.

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 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.