NPIMap

Organization Active NPI

Capstone Health

Doing business as Capstone West Jasper

  • Federally Qualified Health Center (FQHC)
  • Jasper, AL
National Provider Identifier
1528670452
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
CAPSTONE HEALTH
Doing business as
Capstone West Jasper
Practice address
1400 19TH St W
Jasper, AL 35501-5171
Phone
(205) 878-6077
NPI assigned
Aug 21, 2020
Last updated
Aug 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Foster David JonesNPI 1093764888
Title
Executive Director
Phone
(205) 686-5113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1400 19TH St W
Jasper, AL 35501-5171

Mailing address

PO Box 169
Parrish, AL 35580-0169
Phone (205) 686-5133

Other names 1

  • Capstone West Jasper Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060831000248 AL Part B Supplier - Clinic/Group Practice 7719990316 Receives reassigned benefits from 19 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jasper, AL; Parrish, AL; Nauvoo, AL; Double Springs, AL; Carbon Hill, AL
O20200903003025 AL Part A Provider - Federally Qualified Health Center (FQHC) 7719990316 Practice locations: Jasper, AL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528670452. Details of each certification follow.

Federally qualified health center certification: CCN 011077

Legal name
CAPSTONE HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 3, 2020
Last certification
Sep 3, 2020
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 18, 2005 in AL
Enrollment address
1400 19TH St W
Jasper, AL 35501-5171

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Capstone Health

    dba Capstone Double Springs

    • Federally Qualified Health Center (FQHC)
    • Double Springs, AL
    • NPI 1508405069

    7719990316

    Same PAC ID
  • Capstone Health

    dba Capstone Viking Health

    • Federally Qualified Health Center (FQHC)
    • Jasper, AL
    • NPI 1770156077

    7719990316

    Same PAC ID
  • Capstone Health

    dba Capstone Cottage

    • Federally Qualified Health Center (FQHC)
    • Parrish, AL
    • NPI 1821043837

    7719990316

    Same PAC ID
  • Capstone Health

    dba Hilltop Health

    • Federally Qualified Health Center (FQHC)
    • Carbon Hill, AL
    • NPI 1871365569

    7719990316

    Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Capstone Rural Health Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1351 Summitt
Jasper, AL 35501
Phone (205) 295-2277

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lindsey Jones Individual Corporate DirectorClinical Director Aug 31, 2017
Lamar D. Lawrence Individual Corporate DirectorBoard Member Jul 16, 2015
Carol C. Downs Individual Corporate DirectorChair Aug 20, 2015
Donna Kilgore Individual Corporate DirectorBoard Member Apr 1, 2024
Shelley Jones Individual Corporate DirectorBoard Member Sep 19, 2019
Pamela Callahan Individual Corporate DirectorBoard Member Apr 1, 2024
Andrew McCay Individual Corporate DirectorTreasurer Apr 1, 2022
Foster D Jones Individual Corporate DirectorExecutive Director Jul 1, 2012
W-2 Managing Employee Oct 24, 2011
Mary Sanders Individual Corporate DirectorVice- Chair Sep 18, 2018
Dale Reed Cottle Individual Corporate DirectorSecretary Jan 22, 2018
Amber Elswick Individual Corporate DirectorOperations Director Aug 31, 2017
June Kinley Individual Corporate DirectorBoard Member Sep 26, 2013
Wayne Spainhoward Individual Corporate DirectorFinance Director Oct 2, 2017
Allison Jones Individual Corporate DirectorBoard Member Apr 1, 2023
George Barrera Individual Corporate DirectorBoard Member Aug 1, 2023

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Capstone CottageJasper, AL, CCN 011026 Federally qualified health center Operational/Managerial Control Aug 18, 2005

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Capstone Health

    dba Capstone Cottage

    • Federally Qualified Health Center (FQHC)
    • Parrish, AL
    • NPI 1821043837

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1528670452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "PARRISH",
            "state": "AL",
            "postal_code": "355800169",
            "telephone_number": "205-686-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 19TH ST W",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355015171",
            "telephone_number": "205-878-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-21",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "FOSTER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-686-5113"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capstone West Jasper",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capstone West Jasper",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

Verify at the official NPI Registry.