Genesis Primecare
LBN: East Texas Border Health Clinic
Genesis Primecare is an health care organization with primary practice located at 1011 S William St , Atlanta TX 75551-3245. 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) 796-2868, or through Roadcap, Carla via phone (903) 927-3782.
Contact Information
Primary practice address
1011 S William St
Atlanta TX 75551-3245
Phone: (903) 796-2868
Fax: (903) 796-0826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1366828303 |
|---|---|
| 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 | Jul 31st, 2015 |
| Last updated | Jun 13th, 2024 - about 6 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366828303 | NPPES |
| Texas | MEDICAID | 350919201 | |
| Texas | MEDICAID | 211408002 |
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