Healthcare Provider Details

I. General information

NPI: 1225948391
Provider Name (Legal Business Name): CAPSTONE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 2ND ST NE
FAYETTE AL
35555-2402
US

IV. Provider business mailing address

PO BOX 169
PARRISH AL
35580-0169
US

V. Phone/Fax

Practice location:
  • Phone: 205-686-5113
  • Fax:
Mailing address:
  • Phone: 205-686-5113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

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