Community of Hope Health Clinic- a Volunteers in Medicine Clinic

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COMMUNITY OF HOPE HEALTH CLINIC- A VOLUNTEERS IN MEDICINE CLINIC

Practice address

2692 Pelham Pkwy Ste E
Pelham, AL 35124-1337

Phone

(205) 644-8640

NPI assigned

Mar 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Royce Johnston

Title

Executive Director

Phone

(205) 644-8641

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James R Kilgore, PA-C

  • Physician Assistant
  • Hoover, AL
  • NPI 1154321537
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1356927594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351240177",
            "telephone_number": "205-644-8641",
            "fax_number": "205-574-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 PELHAM PKWY STE E",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241337",
            "telephone_number": "205-644-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OF HOPE HEALTH CLINIC- A VOLUNTEERS IN MEDICINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-644-8641"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Colligan, MS CCC-SLP
• Karen J Collins, MTBC
• Comfort Care Hospice, LLC (Aveanna Hospice of Gardendale)
• Comfort Dental Care of Pelham LLC
• Jared Commander
• Compassion Counseling, LLC
• Complete Family Pastoral Counseling, Inc
• Meagan Compton
• Jennifer Conant
• Confident Hope LLC

• Community Health Clinic/Center in Pelham, AL
• Providers in Pelham, AL by specialty
• Community Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.