GENESIS PRIME CARE
NPI 1558329797
Clinic/Center - Federally Qualified Health Center (FQHC) in Marshall, TX

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

The NPI number for East Texas Border Health Clinic is 1558329797. It was assigned to this organization in the NPPES registry on May 3, 2006. The provider is doing business as Genesis Prime Care.

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 May 03, 2006

805 LINDSEY DR, MARSHALL, TX 75670(903) 938-1146(903) 927-2434 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 5 more (8 updates tracked since 2017).

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About Genesis Prime Care NPPES

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

GENESIS PRIME CARE (NPI 1558329797) is a healthcare organization registered as a federally qualified health center (fqhc) in Marshall, Texas and active in the NPI registry since May 2006. The organization lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558329797

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEAST TEXAS BORDER HEALTH CLINIC

Location Address805 LINDSEY DRMarshall, TX 75670-5271

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

Phone(903) 938-1146

Fax(903) 927-2434

Organization SubpartNo

Authorized OfficialCarla RoadcapCeo · (903) 927-3782

Enumeration DateMay 3, 2006

Last NPPES UpdateJune 13, 20248 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1558329797 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

805 LINDSEY DR, Marshall, TX 75670

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Other Names 1

Doing Business AsGenesis Prime Care

Other Identifiers 3

Medicaid192226201TX

Medicaid174139901TX

Other0089LZTX · Bluecross Blueshield

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 Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

HARRISON COUNTY HOSPITAL ASSOCIATION

Clinic/Center (Rural Health)