NPI | 1770156077 |
---|---|
Doing Business As | CAPSTONE VIKING HEALTH |
Entity Type | Organization |
Authorized Contact | FOSTER DAVID JONES Executive Director 205-686-5113 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-07-23 |
Last Update Date | 2023-08-23 |