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Community of Hope Health Clinic, a Volunteers in Medicine Clinic

Details

Name: Community of Hope Health Clinic, a Volunteers in Medicine Clinic
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 04 Dec 2007 (17 years ago)
Entity Number: 000-566-989
Register Number: 000566989
County: Shelby
Place of Formation: Shelby County
Principal Address: ALABASTER, AL
Registered Office Street Address: 1000 1ST ST NORTHALABASTER, AL 35007
Registered Office Street Address ZIP Code: 35007

Activities RELIGIOUS/CHARITABLE/SCIENTIFIC/LITERARY PURPOSES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356927594 2021-03-18 2021-09-03 PO BOX 177, PELHAM, AL, 351240177, US 2692 PELHAM PKWY STE E, PELHAM, AL, 351241337, US

Contacts

Phone +1 205-644-8641
Fax 2055743128
Phone +1 205-644-8640

Authorized person

Name JUSTIN ROYCE JOHNSTON
Role EXECUTIVE DIRECTOR
Phone 2056448641

Taxonomy

Taxonomy Code 261QC1500X - Community Health Clinic/Center
Is Primary Yes

Incorporator

Name Role
HOGARD, HOWARD E Incorporator

Agent

Name Role Address
WOLFE, TIM Agent 107 AUGUSTA WAYHELENA, AL 35080-3940

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State