Capstone Nauvoo | |
156 3rd Ave Nauvoo AL 35578-3238 | |
(205) 724-9059 | |
(205) 697-5182 |
Full Name | Capstone Nauvoo |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 156 3rd Ave, Nauvoo, Alabama |
Authorized Official Name and Position | Foster David Jones (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2056865113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Capstone Nauvoo Po Box 169 Parrish AL 35580-0169 Ph: (205) 686-5113 | Capstone Nauvoo 156 3rd Ave Nauvoo AL 35578-3238 Ph: (205) 724-9059 |
NPI Number | 1093349953 |
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Provider Enumeration Date | 02/28/2020 |
Last Update Date | 08/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093349953 | NPI | - | NPPES |
178831 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |