Healthcare Provider Details

I. General information

NPI: 1508405069
Provider Name (Legal Business Name): CAPSTONE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25734 HIGHWAY 195
DOUBLE SPRINGS AL
35553-2308
US

IV. Provider business mailing address

PO BOX 169
PARRISH AL
35580-0169
US

V. Phone/Fax

Practice location:
  • Phone: 205-686-5113
  • Fax: 205-489-2417
Mailing address:
  • Phone: 205-686-5113
  • Fax: 205-265-2994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: FOSTER DAVID JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 205-686-5113