INTREPID SPIRIT CONCUSSION RECOVERY CENTER
NPI 1881168391
Clinic/Center - Military/U.S. Coast Guard Outpatient in Camp Lejeune, NC
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About INTREPID SPIRIT CONCUSSION RECOVERY CENTER
This page provides the complete NPI Profile along with additional information for Intrepid Spirit Concussion Recovery Center, a provider established in Camp Lejeune, North Carolina operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1881168391 assigned on January 2019. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is William M Condon (Ubo Manager)
- NPI
- 1881168391 Verify this NPI
- Provider Name
- INTREPID SPIRIT CONCUSSION RECOVERY CENTER
- Entity Type
- Organization
- Location Address
- 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547
- Location Phone
- (910) 449-1100
- Mailing Address
- 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-17-2019
- Last Update Date
- 01-17-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
CAMP LEJEUNE, NC 28547
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881168391, enumerated as an "organization" on January 17, 2019.
The provider is located at 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547 and the phone number is (910) 449-1100.
Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.
