| St. Hope Foundation, Inc. | |
|
255 Northpoint Dr Suite 200 Houston TX 77060-3203 | |
| (713) 300-8040 | |
| (713) 300-8041 |
| Full Name | St. Hope Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 Northpoint Dr, Houston, Texas |
| Authorized Official Name and Position | Rodney Goodie (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7137781300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Hope Foundation, Inc. 6200 Savoy Dr Suite 540 Houston TX 77036-3338 Ph: (713) 778-1300 | St. Hope Foundation, Inc. 255 Northpoint Dr Suite 200 Houston TX 77060-3203 Ph: (713) 300-8040 |
| NPI Number | 1457782021 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 05/19/2021 |
| Medicare PECOS PAC ID | 4880508878 |
|---|---|
| Medicare Enrollment ID | O20140425000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457782021 | NPI | - | NPPES |
| 3305880-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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