INTREPID SPIRIT CONCUSSION RECOVERY CENTER
NPI 1881168391
Clinic/Center - Military/U.S. Coast Guard Outpatient in Camp Lejeune, NC
NPI Status: Active since January 17, 2019
Contact Information
100 BREWSTER BLVD
CAMP LEJEUNE, NC
ZIP 28547
Phone: (910) 449-1100
- 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 7 years ago. The authorized official of this NPI record is William M Condon (Ubo Manager)
- NPI
- 1881168391
- 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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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. | |||||||||
| 1 | 8 | 8 | 1 | 1 | 6 | 8 | 3 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 2 | 6 | 16 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 2 + 6 + 1 + 6 + 3 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1881168391 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1588668982 | PIERCE OVERMAN PAC Individual | Family Medicine (Adolescent Medicine) | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-4136 |
| 1356346571 | MRS. KIRSTEN E MILLER CNM, ARNP Individual | Advanced Practice Midwife | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-3905 |
| 1205828829 | MR. JOSEPH COSENTINO JR. CRNA Individual | Registered Nurse | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE CAMP LEJEUNE, NC 28547 (828) 421-3636 |
| 1164406583 | DR. JULIE GREEN M.D. Individual | Surgery | 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547 (910) 450-4136 |
| 1417931783 | MR. RICHARD MICHAEL GUTHRIE PT Individual | Physical Therapist | 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547 (910) 450-4136 |
| 1861477754 | DR. CARL JOSEPH RUOFF JR. O.D. Individual | Optometrist | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-4159 |
| 1720064397 | MISS KELLY ELIZABETH MOKAY MS, RD, CSSD Individual | Dietitian, Registered | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE CAMP LEJEUNE, NC 28547 (910) 450-4136 |
| 1568448009 | DR. CLARENCE CRAIG FARMER PHD Individual | Psychologist | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-3905 |
| 1720065725 | MICHAEL E EPPERLY M.D. Individual | Pediatrics | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-4159 |
| 1578541215 | JOSHUA RYAN HARDING RD Individual | Dietitian, Registered | 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547 (910) 450-4050 |
| 1689652778 | ANGELA JUDGE PHILLIPPE PT Individual | Physical Therapist | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE CAMP LEJEUNE, NC 28547 (910) 450-4750 |
| 1659350619 | DR. CURTIS JAMES WOODS MD Individual | Internal Medicine | 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547 (910) 450-4520 |
| 1164401543 | MRS. SHANNA LEIGH GARCIA OTR Individual | Occupational Therapist | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-3905 |
| 1487633806 | DR. JAMES JOSEPH GEORGE II Individual | Family Medicine | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-3905 |
| 1457331712 | DR. RICHARD DOUGLAS QUATTRONE D.O. Individual | Family Medicine | 100 BREWSTER BLVD DEPT OF FAMILY MEDICINE CAMP LEJEUNE, NC 28547 (910) 450-4580 |
| 1083684989 | DR. AMY L MRUGALA MD Individual | Ophthalmology | 100 BREWSTER BLVD CAMP LEJEUNE, NC 28547 (910) 450-4730 |
| 1629048251 | DR. DAVID MICHEAL STEVENS M.D. Individual | Family Medicine | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-3905 |
| 1720059074 | JERRI GRAY PNP Individual | Nurse Practitioner (Pediatrics) | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-4136 |
| 1629049986 | DR. WILLIAM CLAUDE BEUTEL DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 100 BREWSTER BLVD NAVAL HOSPITAL CAMP LEJEUNE CAMP LEJEUNE, NC 28547 (910) 450-4136 |
| 1093786089 | DR. ROBERT PAUL HINKS PHD MD Individual | Surgery | 100 BREWSTER BLVD GENERAL SURGERY CLINIC-NAVAL HOSPITAL CAMP LEJEUNE, NC 28547 (910) 450-4770 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881168391, enumerated in the NPI registry 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
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 January 17, 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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