CAPSTONE HEALTH SERVICES FOUNDATION PC (NPI# 1275926719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275926719 |
| Entity Type | Organization |
| Organization Name | CAPSTONE HEALTH SERVICES FOUNDATION PC |
| Other Organization Name | UNIVERSITY MEDICAL CENTER - NORTHPORT |
| Practice Address |
1325 Mcfarland Blvd Suite 102 Northport AL 35476-3270 |
| Practice Telephone | 2053486122 |
| Practice Fax Number | 2053486112 |
| Mailing Telephone | 2053486122 |
| Mailing Fax Number | 2053486112 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | ALLISON H ARENDALE (DIRECTOR OF FINANCIAL AFFIARS) |
| Authorized Official Telephone | 2053481770 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| University Medical Center - Northport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952805400 | Capstone Health Services Foundation PC | Family Medicine | 105 Us Highway 80 E Ste 215, Demopolis, AL 36732-3605 | 2018-03-20 |
| 1245650480 | Capstone Health Services Foundation PC | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2014-04-25 |
| 1740397751 | Capstone Health Services Foundation PC | Family Medicine | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 | 2006-08-24 |
| Street Address |
1325 MCFARLAND BLVD SUITE 102 |
| City | NORTHPORT |
| State | AL |
| Zip Code | 35476-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174504336 | Luis Ronald Pernia | Specialist | 1325 Mcfarland Blvd, Suite 201, Northport, AL 35476-3270 | 2005-11-07 |
| 1780034066 | Michael Christopher Jordan | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-16 |
| 1073962833 | Sarah Clos | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2016-06-12 |
| 1548643273 | Randi Cheree Melton | Family Medicine | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1316320054 | Amy Lee Wambolt | Student in an Organized Health Care Education/Training Program | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2015-06-30 |
| 1750798534 | Jessica Hester | Nurse Practitioner | 1325 Mcfarland Blvd, Ste 101, Northport, AL 35476-3262 | 2014-07-14 |
| 1487901369 | Kyle David Adams | Specialist/Technologist | 1325 Mcfarland Blvd, Northport, AL 35476-3270 | 2012-08-09 |
| 1689980484 | Flh, Inc. | Physical Medicine & Rehabilitation | 1325 Mcfarland Blvd, Suite 101, Northport, AL 35476-3270 | 2010-08-31 |
| 1881841500 | April L Coleman | Physician Assistant | 1325 Mcfarland Blvd, Suite 102, Northport, AL 35476-3270 | 2008-08-25 |
| 1285826057 | Kimberly Ellison Wilson | Nurse Practitioner | 1325 Mcfarland Blvd, Suite 104, Northport, AL 35476-3270 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1821592189 | Julia Madrid | Counselor | 1905 4th St Ste 4, Northport, AL 35476 | 2018-03-21 |
| 1740652395 | Restoring Piece LLC | Community/Behavioral Health | 433 Main Avenue, Northport, AL 35476 | 2015-10-22 |
| 1316363740 | Alabama Bariatric and Wellness | Internal Medicine | 1325 Mcfarland Blvd. Suite #209, Northport, AL 35476 | 2014-03-10 |
| 1104170406 | Kerry Thomas, Hill | Chiropractor | 1580 Lurleen Wallace Blvd., Northport, AL 35476 | 2012-11-08 |
| 1366794703 | Back To Fitness | Chiropractor | 1580 Lorleen Wallace Blvd., Northport, AL 35476 | 2012-10-10 |
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| 1184995953 | Julie T Guy | Pharmacist | 3107 Lurleen B Wallace Boulevard, Northport, AL 35476 | 2012-01-25 |
| 1427280973 | Ida Denise Robinson | Internal Medicine | 2201 Mcfarland Blvd., Northport, AL 35476 | 2009-08-18 |
| 1700017852 | Bony F Barrineau Md PC | Orthopaedic Surgery | 2201 32nd Street, Northport, AL 35476 | 2009-08-06 |
| Find all providers in zip 35476 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1124590468 | Ross Bridge Medical Center Pediatrics, LLC | Clinic/Center | 3635 Market St Ste B, Birmingham, AL 35226-6391 | 2018-12-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.