| Genesis Primecare | |
|
401 N Grove Street Marshall TX 75670-3255 | |
| (903) 665-8453 | |
| (903) 665-8496 |
| Full Name | Genesis Primecare |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 401 N Grove Street, Marshall, Texas |
| Authorized Official Name and Position | Carla Roadcap (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9039273782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Primecare Po Box 1326 Marshall TX 75671-1326 Ph: (903) 927-3782 | Genesis Primecare 401 N Grove Street Marshall TX 75670-3255 Ph: (903) 665-8453 |
| NPI Number | 1588092472 |
|---|---|
| Provider Enumeration Date | 10/31/2013 |
| Last Update Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588092472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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