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 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, 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
Phone: (903) 791-1110
Fax: (903) 791-9353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1104361781 |
|---|---|
| LBN Legal business name | East Texas Border Health Clinic |
| DBA Doing business as | Genesis Primecare |
| Authorized official | Roadcap, Carla |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 5th, 2017 |
| Last updated | Aug 28th, 2023 - 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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1400 College Dr , Texarkana TX 75503-3536