Organization
EAST TEXAS BORDER HEALTH CLINIC
Active
Other names
GenesisPrimeCare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA ROADCAP (CEO)
(903) 927-3782
Entity
Organization
Contact information
Practice address
1400 COLLEGE DR, TEXARKANA, TX 75503-3536
(903) 791-1110
(903) 791-9353
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1764
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211550002
—
AR
05
—
347907301
—
TX
Enumeration date
02/27/2015
Last updated
08/28/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us