GENESIS PRIMECARE
NPI 1548745383
Clinic/Center - Federally Qualified Health Center (FQHC) in Texarkana, AR

Active since September 27, 2018
4077 JEFFERSON AVE, TEXARKANA, AR 71854(903) 614-5270 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, Jan 17, 2023, Oct 17, 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 1548745383) is a healthcare organization registered as a federally qualified health center (fqhc) in Texarkana, Arkansas and active in the NPI registry since September 2018. The organization lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548745383
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TEXAS BORDER HEALTH CLINIC
Location Address4077 JEFFERSON AVETexarkana, AR 71854-1509
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782
Organization SubpartYes
Authorized OfficialCarla RoadcapCeo · (903) 927-3782
Enumeration DateSeptember 27, 2018
Last NPPES UpdateAugust 28, 20237 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1548745383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
4077 JEFFERSON AVE, Texarkana, AR 71854

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

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Professional)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Mental Health)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Nurse Practitioner (Family)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Mental Health)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Professional)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Counselor (Professional)
4077 JEFFERSON AVE
TEXARKANA, AR 71854
Nurse Practitioner (Women's Health)
4077 JEFFERSON AVE
TEXARKANA, AR 71854

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 1548745383. It was assigned to this organization in the NPPES registry on September 27, 2018. The provider is doing business as Genesis Primecare.

Where is East Texas Border Health Clinic located?

East Texas Border Health Clinic is located at 4077 Jefferson Ave, Texarkana, AR 71854. The listed phone number is (903) 614-5270.

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 Home State Health, Ambetter from Louisiana Healthcare Connections and Ambetter from Magnolia Health and 3 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 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.