GENESIS PRIMECARE
NPI 1366828303
Clinic/Center - Federally Qualified Health Center (FQHC) in Atlanta, TX

Q: What is East Texas Border Health Clinic's NPI number?

The NPI number for East Texas Border Health Clinic is 1366828303. It was assigned to this organization in the NPPES registry on July 31, 2015. The provider is doing business as Genesis Primecare.

Q: 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.

Active since July 31, 2015

1011 S WILLIAM ST, ATLANTA, TX 75551(903) 796-2868(903) 796-0826 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Aug 28, 2023, Jul 7, 2022 and 3 more (6 updates tracked since 2018).

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About Genesis Primecare NPPES

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

GENESIS PRIMECARE (NPI 1366828303) is a healthcare organization registered as a federally qualified health center (fqhc) in Atlanta, Texas and active in the NPI registry since July 2015. The organization lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366828303

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEAST TEXAS BORDER HEALTH CLINIC

Location Address1011 S WILLIAM STAtlanta, TX 75551-3245

Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 927-1764

Phone(903) 796-2868

Fax(903) 796-0826

Organization SubpartNo

Authorized OfficialCarla RoadcapCeo · (903) 927-3782

Enumeration DateJuly 31, 2015

Last NPPES UpdateJune 13, 20246 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1366828303 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

1011 S WILLIAM ST, Atlanta, TX 75551

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Other Names 1

Doing Business AsGenesis Primecare

Other Identifiers 2

Medicaid350919201TX

Medicaid211408002AR

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 ›

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.

MS. TIFFANY GRIFFIN PEACE FNP

Nurse Practitioner (Family)