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GENESIS PRIMECARE
NPI 1104361781
Clinic/Center - Federally Qualified Health Center (FQHC) in Texarkana, TX

Active since January 05, 2017
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: July 26, 2026.

Record update history: Aug 28, 2023, Jul 7, 2022, Jun 16, 2021 and 4 more (7 updates tracked since 2017).

About Genesis Primecare NPPES

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

GENESIS PRIMECARE (NPI 1104361781) is a healthcare organization registered as a federally qualified health center (fqhc) in Texarkana, Texas and active in the NPI registry since January 2017. The organization lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104361781
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 SubpartYes
Authorized OfficialCarla RoadcapCeo · (903) 927-3782
Enumeration DateJanuary 5, 2017
Last NPPES UpdateAugust 28, 20237 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1104361781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
1400 COLLEGE DR, Texarkana, TX 75503
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Other Names 1

Doing Business AsGenesis Primecare

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

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
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
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 1104361781. It was assigned to this organization in the NPPES registry on January 5, 2017. 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.

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 with the weekly NPPES data releases published by CMS.