Healthcare Provider Details

I. General information

NPI: 1245650480
Provider Name (Legal Business Name): CAPSTONE HEALTH SERVICES FOUNDATION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2014
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 PETER BRYCE BLVD
TUSCALOOSA AL
35401-7457
US

IV. Provider business mailing address

850 5TH AVE E
TUSCALOOSA AL
35401-7419
US

V. Phone/Fax

Practice location:
  • Phone: 205-348-1770
  • Fax: 205-348-6561
Mailing address:
  • Phone: 205-348-1770
  • Fax: 205-348-6561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: ALLISON ARENDALE
Title or Position: DIRECTOR OF FINANCIAL AFFAIRS
Credential:
Phone: 205-348-1770