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COMMUNITY OF HOPE HEALTH CLINIC- A VOLUNTEERS IN MEDICINE CLINIC NPI 1356927594


NPI Information

NPI: 1356927594
Provider Name: COMMUNITY OF HOPE HEALTH CLINIC- A VOLUNTEERS IN MEDICINE CLINIC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 01D2270014

Address:
2692 PELHAM PKWY STE E
PELHAM, AL
ZIP 35124
Phone: (205) 644-8640
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COMMUNITY OF HOPE HEALTH CLINIC- A VOLUNTEERS IN MEDICINE CLINIC is a community health clinic center in Pelham, AL. COMMUNITY OF HOPE HEALTH CLINIC- A VOLUNTEERS IN MEDICINE CLINIC NPI is 1356927594. The provider is registered as an organization entity type.

The provider's business location address is:

2692 PELHAM PKWY STE E
PELHAM, AL
ZIP 35124-337
Phone: (205) 644-8640

The provider's authorized official is Justin Royce Johnston .
The authorized official title is Executive Director and has the following contact phone number (205) 644-8641.

The CLIA number assigned to this NPI record is 01D2270014 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2021 and was last updated on 9/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QC1500XClinic/CenterCommunity HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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