OrganizationIntrepid Spirit CenterClinic/CenterAmbulatory Health Care FacilitiesPractice Address200 Mercy Cir, Camp Pendleton, CA 92055(619) 767-7000PECOS EnrollmentBased on the most recent information from CMS, provider Intrepid Spirit Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1184187296Provider TypeOrganizationFull NameIntrepid Spirit CenterSubpartYesEnumeration Date4/8/2019Last Updated4/8/2019Contact InformationPractice LocationPractice Address200 Mercy Cir, Camp Pendleton, CA 92055Phone(619) 767-7000FaxUnlisted FaxMailing LocationMailing Address200 Mercy Cir, Camp Pendleton, CA 92055PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameCondon, William M (Ubo Manager)Phone(240) 401-3643Provider TaxonomiesCodeDescriptionLicenseCode261QM1100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer