| Name: | Hope Health Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of registration: | 07 May 2002 (22 years ago) |
| Date of dissolution: | 12 Feb 2024 |
| Entity Number: | 000-556-383 |
| Register Number: | 000556383 |
| Historical Names: |
Household of Faith Family Medical Care, Inc.
|
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 7504 DIVISION AVEBIRMINGHAM, AL 35206 |
| Registered Office Street Address ZIP Code: | 35206 |
Activities
PROVIDE QUALITY MEDICAL CARE TO INDIGENT POPULATION OF EAST LAKE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982741203 | 2007-01-30 | 2014-07-02 | 4614 CARNEGIE AVE, FAIRFIELD, AL, 350641430, US | 4614 CARNEGIE AVE, FAIRFIELD, AL, 350641430, US | |||||||||||||||||||||||||||
|
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| Phone | +1 205-785-1353 |
| Fax | 2057853731 |
Authorized person
| Name | DR. THOMAS N EDWARDS JR. |
| Role | PRESIDENT |
| Phone | 2057851353 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529912480 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | DN9836 |
| State | AL |
| Name | Role |
|---|---|
| EDWARDS, TOM | Agent |
| Name | Role |
|---|---|
| EDWARDS, TOM | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-05-07 | Name Change | Household of Faith Family Medical Care, Inc. | Hope Health Center, Inc. |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
