| Capstone Viking Health | |
|
1501 Viking Dr Jasper AL 35501-4942 | |
| (205) 686-5113 | |
| Not Available |
| Full Name | Capstone Viking Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1501 Viking Dr, Jasper, Alabama |
| Authorized Official Name and Position | Foster David Jones (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2056865113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capstone Viking Health Po Box 169 Parrish AL 35580-0169 Ph: () - | Capstone Viking Health 1501 Viking Dr Jasper AL 35501-4942 Ph: (205) 686-5113 |
| NPI Number | 1770156077 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 7719990316 |
|---|---|
| Medicare Enrollment ID | O20220128000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770156077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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