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CH0627930 EAST TEXAS BORDER HEALTH CLINIC (Active)
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Main Details
Name
EAST TEXAS BORDER HEALTH CLINIC
Subdivision Name
East Texas Border Health Clinic DBA Genesis Primecare Marshall 2
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032919
340B ID
CH0627930
Grant Number
H80CS08781
Additional Details
Current Program Status
Active
Registration Date
10/17/2007
Participating Start Date
10/1/2007
Participating Approval Date
12/1/2007
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Genesis PrimeCare
Carla Roadcap, CEO
(903) 927-3782
Primary Contact
Genesis PrimeCare
Kimberly Casey, credentailing
(903) 927-3782 Ext: 3105
Addresses
Street Address
400 S Alamo Blvd
Marshall, TX 75670-4260
Billing Address
East Texas Board Health Clinic DBA Genesis Primecare
PO Box 1326
Marshall, TX 75671-1326
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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