GENESIS PRIMECARE – NPI #1811485055
Clinic/Center
GENESIS PRIMECARE is an AHC clinic located in MARSHALL, TX. NPPES has assigned the NPI number 1811485055 to GENESIS PRIMECARE on April 24, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GENESIS PRIMECARE” is a dba name, the actual legal business name for this organization is EAST TEXAS BORDER HEALTH CLINIC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 3 years ago on Aug 28, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GENESIS PRIMECARE below.
NPI Profile for
EAST TEXAS BORDER HEALTH CLINIC
(more than 8 years ago)
MARSHALL, TX 75670-5341 Phone: (903) 927-6850 Fax:
MARSHALL, TX 75671-1326 Phone: (903) 927-3782 Fax: (903) 927-1764
ENROLLMENT SPECIALIST
Phone: (903) 927-3782
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for GENESIS PRIMECARE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | TX | PENDING |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.