INTREPID SPIRIT CENTER
NPI 1184187296
Clinic/Center - Military/U.S. Coast Guard Outpatient in Camp Pendleton, CA

NPI Status: Active since April 08, 2019

Contact Information

200 MERCY CIR
CAMP PENDLETON, CA
ZIP 92055
Phone: (619) 767-7000

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About INTREPID SPIRIT CENTER

This page provides the complete NPI Profile along with additional information for Intrepid Spirit Center, a provider established in Camp Pendleton, California operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1184187296 assigned on April 2019. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is William M Condon (Ubo Manager)

NPI
1184187296
Provider Name
INTREPID SPIRIT CENTER
Entity Type
Organization
Location Address
200 MERCY CIR CAMP PENDLETON, CA 92055
Location Phone
(619) 767-7000
Mailing Address
200 MERCY CIR CAMP PENDLETON, CA 92055
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-08-2019
Last Update Date
04-08-2019
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WILLIAM M CONDON

Authorized Official Title
UBO MANAGER
Authorized Official Phone
(240) 401-3643

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1184187296
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211642814218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 2 + 8 + 1 + 4 + 2 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1184187296 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447790506 JILL OWNBEY
Individual
Speech-Language Pathologist200 MERCY CIR
OCEANSIDE, CA 92055
(760) 763-5545
1881103398MRS. THERA FRENTZ STORM LCSW
Individual
Social Worker (Clinical)200 MERCY CIR
CAMP PENDLETON, CA 92055
(910) 547-7744
1700363413DR. KIMBERLEY N ENGOLS DDS
Individual
Dentist (General Practice)200 MERCY CIR
OCEANSIDE, CA 92055
(760) 725-4357
1316599020DR. EVAN MICHAEL BLACK D.M.D.
Individual
Dentist (General Practice)200 MERCY CIR BUILDING H-200 4TH FLOOR
FPO, AA 92055
(760) 719-4747
1417248071 SHEILA MULLIGAN M.D.
Individual
Obstetrics & Gynecology200 MERCY CIR
OCEANSIDE, CA 92055
(760) 725-1288
1629576210 LIDIA PAOLA KRUSE PERALTA MD
Individual
Internal Medicine200 MERCY CIR
CAMP PENDLETON, CA 92055
(760) 725-1213
1861771024DR. CARL EUGENE STARR M.D.
Individual
Psychiatry & Neurology (Psychiatry)200 MERCY CIR
CAMP PENDLETON, CA 92055
(702) 606-9188
1982348017 EMILY PHELPS MD
Individual
Student in an Organized Health Care Education/Training Program200 MERCY CIR
CAMP PENDLETON, AR 92055
(760) 725-1288
1851910822 JEREMIAH WOODS
Individual
Military Health Care Provider200 MERCY CIR
OCEANSIDE, CA 92055
(503) 568-2525
1457946733 REX WILLIAM MICHITSCH DO
Individual
Military Health Care Provider200 MERCY CIR
OCEANSIDE, CA 92055
(573) 619-3030
1902290711 KERRY PHILBIN SADLER
Individual
Family Medicine200 MERCY CIR
OCEANSIDE, CA 92055
(760) 725-1288
1801254529 JENIFER ANGELES CNM
Individual
Advanced Practice Midwife200 MERCY CIR
OCEANSIDE, CA 92055
(760) 725-1090
1588297048 GWENDOLYN HARDY
Individual
Military Health Care Provider200 MERCY CIR 4TH FLOOR, RM 4172
CAMP PENDLETON, CA 92055
(760) 725-1288
1043550460 ERICA DIN FNP-C
Individual
Nurse Practitioner (Family)200 MERCY CIR
OCEANSIDE, CA 92055
(760) 725-4647
1780134080DR. EVELYN AMERICA KNIPE PSY.D.
Individual
Student in an Organized Health Care Education/Training Program200 MERCY CIR
OCEANSIDE, CA 92055
(760) 719-3312
1265111462DR. JACOB H MCCULLOUGH DDS
Individual
Dentist (General Practice)200 MERCY CIR
FPO, AA 92055
(760) 725-1288
1538508379DR. NICHOLAS RAY ROCCO M.D.
Individual
Urology200 MERCY CIR
CAMP PENDLETON, CA 92055
(760) 719-3209
1598259046DR. ALEJANDRO LUIS CUESTA DO
Individual
Family Medicine200 MERCY CIR
OCEANSIDE, CA 92055
(760) 719-3675
1730519497DR. CHRISTINE M WALKER D.O.
Individual
Family Medicine200 MERCY CIR
OCEANSIDE, CA 92055
(760) 725-4357
1982130779DR. SAMUEL VOTTO DDS
Individual
Dentist (Oral and Maxillofacial Surgery)200 MERCY CIR
OCEANSIDE, CA 92055
(760) 725-1288

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184187296, enumerated in the NPI registry as an "organization" on April 08, 2019

The provider is located at 200 Mercy Cir Camp Pendleton, Ca 92055 and the phone number is (619) 767-7000

This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient

This NPI record was last updated on April 08, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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