Organization
ST HOPE FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY NEIL GOODIE JR. (CEO)
(713) 778-1300
Entity
Organization
Contact information
Practice address
1414 S FRAZIER ST, SUITE 106, CONROE, TX 77301-4453
(936) 441-2440
(800) 249-5020
Mailing address
6200 SAVOY DRIVE, SUITE 540, HOUSTON, TX 77036-3338
(713) 778-1300
(713) 778-0827
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021KK
BLUE CROSS/BLUE SHIELD
TX
05
—
1567299-03
—
TX
Enumeration date
01/09/2007
Last updated
05/19/2021
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