# COMMUNITY OF HOPE HEALTH CLINIC- A VOLUNTEERS IN MEDICINE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356927594
- **Authorized official:** JUSTIN ROYCE JOHNSTON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (205) 644-8641

## Contact information

- **Practice address:** 2692 PELHAM PKWY STE E, PELHAM, AL 35124-1337
- **Practice address phone:** (205) 644-8640
- **Mailing address:** PO BOX 177, PELHAM, AL 35124-0177
- **Mailing address phone:** (205) 644-8641
- **Mailing address fax:** (205) 574-3128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2021
- **Last updated:** 09/03/2021