| Name: | Capstone Health |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 18 Aug 2005 (19 years ago) |
| Entity Number: | 000-562-299 |
| Register Number: | 000562299 |
| Historical Names: |
The Capstone Rural Health Center
|
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 1220 MAIN DRIVEPARRISH, AL 35580 |
| Registered Office Street Address ZIP Code: | 35580 |
Activities
CHARITABLE/SCIENTIFIC/EDUCATIONAL PURPOSES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NWKVARKFFC67 | 2024-09-04 | 5947 HIGHWAY 269, PARRISH, AL, 35580, 3847, USA | PO BOX 169, PARRISH, AL, 35580, 0169, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | capstoneclinic.org |
| Division Name | CAPSTONE RURAL HEALTH CENTER |
| Division Number | CAPSTONE R |
| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-09-07 |
| Initial Registration Date | 2006-11-14 |
| Entity Start Date | 2001-06-04 |
| Fiscal Year End Close Date | Apr 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | FOSTER D. JONES |
| Role | DR |
| Address | PO BOX 169, PARRISH, AL, 35580, 0169, USA |
| Title | ALTERNATE POC |
| Name | LINDSEY JONES |
| Address | 5947 HIGHWAY 269, PO BOX 169, PARRISH, AL, 35580, 0169, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AMBER ELSWICK |
| Role | OPERATIONS DIRECTOR |
| Address | P.O. BOX 169, PARRISH, AL, 35580, 0169, USA |
| Title | ALTERNATE POC |
| Name | AMBER ELSWICK |
| Role | FINANCE MANAGER |
| Address | P.O. BOX 169, PARRISH, AL, 35580, 0169, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | AMBER ELSWICK |
| Role | FINANCE MANAGER |
| Address | P.O. BOX 169, PARRISH, AL, 35580, 0169, USA |
| Title | ALTERNATE POC |
| Name | AMBER ELSWICK |
| Role | FINANCE MANAGER |
| Address | P.O. BOX 169, PARRISH, AL, 35580, 0169, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871365569 | 2023-10-25 | 2023-10-25 | PO BOX 169, PARRISH, AL, 355800169, US | 217 BULLDOG BLVD, CARBON HILL, AL, 355493734, US | |||||||||||||||||
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| Phone | +1 205-686-5113 |
Authorized person
| Name | JESSICA MILLER |
| Role | BILLING MANAGER |
| Phone | 2056865113 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QF0400X - Federally Qualified Health Center (FQHC) |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4LE70 | Obsolete | Non-Manufacturer | 2006-11-13 | 2024-08-14 | No data | 2025-08-12 | |||||||||||||||
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| POC | AMBER ELSWICK |
| Phone | +1 205-724-9023 |
| Fax | +1 205-265-2994 |
| Address | 5947 HIGHWAY 269, PARRISH, AL, 35580 3847, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| DUNKIN, JERI W | Agent | 6504 CLEARBROOK DRIVENORTHPORT, AL 35473 |
| Name | Role | Address |
|---|---|---|
| DUNKIN, JERI W | Incorporator | 6504 CLEARBROOK DRIVENORTHPORT, AL 35473 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-05-02 | Name Change | The Capstone Rural Health Center | Capstone Health |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
