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CH062793J 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-Arkansas
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017223
340B ID
CH062793J
Grant Number
H80CS08781
Additional Details
Current Program Status
Active
Registration Date
1/14/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/10/2016
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
1205 E 35th Street
Texarkana, AR 71854-2746
Billing Address
East Texas Border Health Clinic
PO Box 1326
Marshall, TX 75671
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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