| St Hope Foundation, Inc | |
|
3750 Medical Center Blvd Ste 150 Dickinson TX 77539-7385 | |
| (832) 738-1305 | |
| (866) 316-2044 |
| Full Name | St Hope Foundation, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3750 Medical Center Blvd Ste 150, Dickinson, Texas |
| Authorized Official Name and Position | Mika Sam-cooper (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7137781300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Hope Foundation, Inc 6200 Savoy Dr Ste 540 Houston TX 77036-3338 Ph: (713) 778-1300 | St Hope Foundation, Inc 3750 Medical Center Blvd Ste 150 Dickinson TX 77539-7385 Ph: (832) 738-1305 |
| NPI Number | 1417424912 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 06/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417424912 | NPI | - | NPPES |
| 4191678-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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