East Texas Border Health Clinic
NPI 1548745383 · Federally Qualified Health Center (FQHC) · Texarkana, AR
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Texas Border Health Clinic is a Federally Qualified Health Center (FQHC) organization in Texarkana, AR (NPI 1548745383).
Provider details
- NPI number
- 1548745383
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- East Texas Border Health Clinic
- Organization subpart
- Yes
- Authorized official
- Carla Roadcap, Ceo(903) 927-3782
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Genesis Primecare
- Doing business as
- Genesis Primecare
Registry dates
- Enumerated
- 2018-09-27
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Frequently asked questions
- What is East Texas Border Health Clinic's NPI number?
- East Texas Border Health Clinic's National Provider Identifier (NPI) is 1548745383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Texas Border Health Clinic?
- East Texas Border Health Clinic is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is East Texas Border Health Clinic located?
- East Texas Border Health Clinic's practice location on file with NPPES is 4077 Jefferson Ave, Texarkana, AR 71854-1509.
- What is East Texas Border Health Clinic's phone number?
- The practice phone number listed in the NPPES registry for East Texas Border Health Clinic is (903) 614-5270.
- Does East Texas Border Health Clinic accept Medicare?
- East Texas Border Health Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Texas Border Health Clinic?
- The authorized official listed on East Texas Border Health Clinic's NPPES record is Carla Roadcap, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Texas Border Health Clinic's NPI active?
- Yes — East Texas Border Health Clinic's NPI (1548745383) is active in the NPPES registry as of the last update on 2023-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.