GENESIS PRIMECARE
NPI 1669872560
Clinic/Center - Federally Qualified Health Center (FQHC) in Longview, TX

Active since August 27, 2014
2131 S MOBBERLY AVE, LONGVIEW, TX 75602(903) 758-3551 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, Sep 3, 2020 and 2 more (5 updates tracked since 2018).

About Genesis Primecare NPPES

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

GENESIS PRIMECARE (NPI 1669872560) is a healthcare organization registered as a federally qualified health center (fqhc) in Longview, Texas and active in the NPI registry since August 2014. The organization lists Carla Roadcap, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669872560
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAST TEXAS BORDER HEALTH CLINIC
Location Address2131 S MOBBERLY AVELongview, TX 75602-3563
Mailing AddressPo Box 1326Marshall, TX 75671-1326 · (903) 927-3782
Organization SubpartNo
Authorized OfficialCarla RoadcapCeo · (903) 927-3782
Enumeration DateAugust 27, 2014
Last NPPES UpdateAugust 28, 20235 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1669872560 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
2131 S MOBBERLY AVE, Longview, TX 75602

Other Names 1

Doing Business AsGenesis Primecare

Other Identifiers 1

Medicaid340584701TX

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2131 S MOBBERLY AVE
LONGVIEW, TX 75602
Physician Assistant
2131 S MOBBERLY AVE
LONGVIEW, TX 75602
Nurse Practitioner (Family)
2131 S MOBBERLY AVE
LONGVIEW, TX 75602
Pediatrics
2131 S MOBBERLY AVE
LONGVIEW, TX 75602
Physician Assistant (Medical)
2131 S MOBBERLY AVE
LONGVIEW, TX 75602
Nurse Practitioner (Family)
2131 S MOBBERLY AVE
LONGVIEW, TX 75602

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 1669872560. It was assigned to this organization in the NPPES registry on August 27, 2014. The provider is doing business as Genesis Primecare.

Where is East Texas Border Health Clinic located?

East Texas Border Health Clinic is located at 2131 S Mobberly Ave, Longview, TX 75602. The listed phone number is (903) 758-3551.

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 with the weekly NPPES data releases published by CMS.