Provider Demographics
NPI:1891994349
Name:CAPSTONE CLINICAL SERVICES
Entity Type:Organization
Organization Name:CAPSTONE CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:801-808-9035
Mailing Address - Street 1:11175 S 960 E
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84094-5327
Mailing Address - Country:US
Mailing Address - Phone:801-663-4689
Mailing Address - Fax:801-601-1945
Practice Address - Street 1:11175 S 960 E
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-5327
Practice Address - Country:US
Practice Address - Phone:801-663-4689
Practice Address - Fax:801-601-1945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty