Provider Demographics
NPI:1255212353
Name:CAPSTONE HEALTH SERVICES FOUNDATION PC
Entity type:Organization
Organization Name:CAPSTONE HEALTH SERVICES FOUNDATION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR - FINANCE AND OP
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ARENDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-348-5203
Mailing Address - Street 1:850 PETER BRYCE BLVD
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35401-7457
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 RICE MINE ROAD LOOP STE 301
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2417
Practice Address - Country:US
Practice Address - Phone:205-345-3881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CAPSTONE HEALTH SERVICES FOUNDATION PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty