| St. Hope Foundation, Inc | |
|
20320 Northwest Fwy Ste 500 Jersey Village TX 77065-5644 | |
| (713) 778-1300 | |
| (713) 778-0827 |
| Full Name | St. Hope Foundation, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20320 Northwest Fwy Ste 500, Jersey Village, Texas |
| Authorized Official Name and Position | Timika Cooper (CHIEF OPERATING 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 Ste 540 Houston TX 77036-3338 Ph: (713) 778-1300 | St. Hope Foundation, Inc 20320 Northwest Fwy Ste 500 Jersey Village TX 77065-5644 Ph: (713) 778-1300 |
| NPI Number | 1952078990 |
|---|---|
| Provider Enumeration Date | 08/26/2021 |
| Last Update Date | 08/26/2021 |
| Medicare PECOS PAC ID | 4880508878 |
|---|---|
| Medicare Enrollment ID | O20220302000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952078990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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