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The Nightingale Clinic

Details

Name: The Nightingale Clinic
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 02 Mar 2013 (12 years ago) (Companies founded in March 2013)
Entity Number: 000-277-257
Register Number: 000277257
Place of Formation: Jefferson County
Principal Address: 1411 SMOLIAN PLACEBIRMINGHAM, AL 35205-2931

Activities PROVIDE FREE HEALTHCARE TO HOMELESS PEOPLE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396084109 2013-02-14 2013-02-14 PO BOX 11213, BIRMINGHAM, AL, 352021213, US 112 14TH ST N, BIRMINGHAM, AL, 352031736, US

Contacts

Phone +1 205-324-6402

Authorized person

Name DR. J WALDEN RETAN
Role TREASURER
Phone 2052664928

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Director

Name Role Address
RETAN, J WALDEN Director 177 OAK RIDGE LANETALLADEGA, AL 35160-8303
WADE, MARY J Director 1411 SMOLIAN PLACEBIRMINGHAM, AL 35205-2931

Incorporator

Name Role Address
RETAN, J W Incorporator 177 OAK RIDGE LANETALLADEGA, AL 35160-8303

Agent

Name Role Address
WADE, MARY J Agent 1411 SMOLIAN PLACEBIRMINGHAM, AL 35205-2931

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State