Provider Demographics
NPI:1275926719
Name:CAPSTONE HEALTH SERVICES FOUNDATION PC
Entity Type:Organization
Organization Name:CAPSTONE HEALTH SERVICES FOUNDATION PC
Other - Org Name:UNIVERSITY MEDICAL CENTER - NORTHPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCIAL AFFIARS
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:H
Authorized Official - Last Name:ARENDALE
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:205-348-1770
Mailing Address - Street 1:1325 MCFARLAND BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3270
Mailing Address - Country:US
Mailing Address - Phone:205-348-6122
Mailing Address - Fax:205-348-6112
Practice Address - Street 1:6205 JEMISON LN
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3545
Practice Address - Country:US
Practice Address - Phone:205-348-6122
Practice Address - Fax:205-348-6112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty