East Texas Border Health Clinic

A Medicare group practice based in Marshall, TX: 19 NPIs enrolled under one PECOS associate control ID (PAC ID 8820038565), with 70 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8820038565The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
AR, TX
Enrollments
13
Group size
55 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
20In 4 places

Enrollment records 13

Enrollment IDStateProvider typeNPI
O20260316003440 TX Part A Provider - Federally Qualified Health Center (FQHC) 1427902568
O20050511001030 TX Part B Supplier - Clinic/Group Practice 1023630969
O20070911000923 TX Part A Provider - Federally Qualified Health Center (FQHC) 1558329797
O20170613002665 TX Part A Provider - Federally Qualified Health Center (FQHC) 1053845636
O20170629001989 AR Part B Supplier - Clinic/Group Practice 1093186249
O20170630001102 TX Part A Provider - Federally Qualified Health Center (FQHC) 1922532555
O20130109000585 TX Part A Provider - Federally Qualified Health Center (FQHC) 1053663690
O20160203000828 AR Part A Provider - Federally Qualified Health Center (FQHC) 1093186249
O20151006000350 TX Part A Provider - Federally Qualified Health Center (FQHC) 1366828303
O20190325000014 AR Part A Provider - Federally Qualified Health Center (FQHC) 1548745383
O20210121001414 TX Part A Provider - Federally Qualified Health Center (FQHC) 1780295741
O20201112003417 TX Part A Provider - Federally Qualified Health Center (FQHC) 1598366718
O20200605000997 TX Part A Provider - Federally Qualified Health Center (FQHC) 1023630969

NPIs in this group 19

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 70

Clinicians who reassign their Medicare benefits to this group (62) or whom Care Compare lists as members (55).

Sources for this page