Genesis Primecare

LBN: East Texas Border Health Clinic
Genesis Primecare is an health care organization with primary practice located at 1400 College Dr , Texarkana TX 75503-3536. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. East Texas Border Health Clinic can be contacted via phone (903) 791-1110, or through Roadcap, Carla via phone (903) 927-3782.

Contact Information

Primary practice address
1400 College Dr Texarkana TX 75503-3536
Fax: (903) 791-9353
Website:
Authorized official contact:
Name: Roadcap, Carla

Profile Details

NPI number 1053663690
LBN Legal business name East Texas Border Health Clinic
DBA Doing business as Genesis Primecare
Authorized official Roadcap, Carla
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2012
Last updated Jun 13th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053663690 NPPES
Texas MEDICAID 192226202
Texas MEDICAID 198049002

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