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

Active since February 27, 2015CLIA 45D2144414 · Waiver
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: September 13, 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 holds a CLIA Waiver certificate valid through February 15, 2028 and 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
Phone(903) 791-1110
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
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Other Names 1

Doing Business AsGenesisprimecare

Other Identifiers 2

Medicaid347907301TX
Medicaid211550002AR

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 Louisiana Healthcare Connections and more.Insurance ›

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 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.

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
EAST TEXAS BORDER HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
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
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 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.

Does East Texas Border Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2144414) is associated with this NPI, valid through February 15, 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.