| Capstone West Jasper | |
|
1400 19th St W Jasper AL 35501-5171 | |
| (205) 878-6077 | |
| Not Available |
| Full Name | Capstone West Jasper |
|---|---|
| Speciality | Clinic/Center |
| Location | 1400 19th St W, 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 West Jasper Po Box 169 Parrish AL 35580-0169 Ph: (205) 686-5133 | Capstone West Jasper 1400 19th St W Jasper AL 35501-5171 Ph: (205) 878-6077 |
| NPI Number | 1528670452 |
|---|---|
| Provider Enumeration Date | 08/21/2020 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 7719990316 |
|---|---|
| Medicare Enrollment ID | O20200903003025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528670452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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