EAST TEXAS BORDER HEALTH CLINIC
NPI 1659567337
Clinic/Center - Federally Qualified Health Center (FQHC) in Jefferson, TX

Active since September 17, 2007
106 N ALLEY STREET, JEFFERSON, TX 75657(903) 665-8453(903) 665-8496 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Jul 7, 2022, Sep 3, 2020 and 3 more (6 updates tracked since 2016).

About East Texas Border Health Clinic NPPES

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

EAST TEXAS BORDER HEALTH CLINIC (NPI 1659567337) is a healthcare organization registered as a federally qualified health center (fqhc) in Jefferson, Texas and active in the NPI registry since September 2007. The organization lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659567337
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TEXAS BORDER HEALTH CLINIC
Location Address106 N ALLEY STREETJefferson, TX 75657-1408
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782 · Fax (903) 472-4577
Fax(903) 665-8496
Organization SubpartNo
Authorized OfficialCarla RoadcapCeo · (903) 927-3782
Enumeration DateSeptember 17, 2007
Last NPPES UpdateAugust 28, 20236 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1659567337 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
106 N ALLEY STREET, Jefferson, TX 75657

Other Identifiers 1

Medicaid174139903TX

Accepted Insurance

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 1659567337. It was assigned to this organization in the NPPES registry on September 17, 2007.

Where is East Texas Border Health Clinic located?

East Texas Border Health Clinic is located at 106 N Alley Street, Jefferson, TX 75657. The listed phone number is (903) 665-8453.

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 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 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.