Health Clinics


About The Madigan Intrepid Spirit Center

The Madigan Traumatic Brain Injury Program and Intrepid Spirit Program are both located within the Intrepid Spirit Center. The Intrepid Spirit Center is a 25,000 square foot state-of-the-art facility that was built with the generous support of the Intrepid Fallen Heroes Fund. Informally opening its doors in December 2017, the Intrepid Spirit Center officially opened with a ribbon cutting ceremony on April 5, 2018.


Our mission at the Madigan Traumatic Brain Injury Program is to provide comprehensive health care, education and research across the continuum of care, ranging from the impact of trauma exposure to the effects of all grades/types of brain injury, while striving to address the impacts of co-occurring conditions. We serve our service members, retirees and families over the age of 18 throughout the western United States including Alaska, Hawaii and the Pacific region.

Our Intrepid Spirit Program mission is to provide the best possible holistic interdisciplinary care and resources supporting readiness, resilience and recovery for our patients throughout the Pacific region with complex conditions following trauma such as history of concussion, post-traumatic stress, chronic pain, and the presence of two or more associated chronic diseases or conditions in a patient which have not been resolved despite receiving treatment through existing collaborative models of care.

Program Overviews

Traumatic Brain Injury Program

The Madigan Traumatic Brain Injury Program is comprised of an interdisciplinary team who work to prevent, identify and mitigate the effects of head and brain trauma and the presence of two or more associated chronic diseases or conditions in a patient. We promote Army Medicine’s Performance Triad (sleep, activity and nutrition) to optimize brain health and alignment with the Defense and Veterans Brain Injury Center guidelines of clinical care.

Intrepid Spirit Program

The Madigan Intrepid Spirit Program serves as a natural extension of the current holistic TBI, behavioral health and Intensive Pain Management Center programs offered at Madigan and to follow the National Intrepid Center of Excellence model of team based interdisciplinary care. We provide comprehensive specialty evaluations under one roof, integrating traditional and complementary approaches to care. Our Madigan Intrepid Spirit Transitions intensive outpatient program involves full days of holistic state-of-the-art treatment and educational programs with opportunities supporting readiness, life skills techniques and a variety of tools and resources for continued healing and growth beyond this six-week program.

Clinical Programs

  • The Traumatic Brain Injury Program
  • The Intrepid Spirit Program Specialty Evaluations & Care
  • The Madigan Intrepid Spirit Transitions (MIST) Intensive Outpatient Program (IOP)
  • The Mindfulness Based Stress Reduction (MBSR) Program


Madigan’s Intrepid Spirit is tasked to provide evidence-based interdisciplinary assessment and intensive outpatient care for Service Members with complex medical conditions with the goal of fostering optimal outcomes through the establishment of a new care model including enhanced case management, an arena intake, and intensive outpatient rehabilitation. The 5-week program gives service members tools to assist them with chronic pain, behavior health issues, headaches, and other co-morbidities associated with head trauma.


Who Can Be Seen at the Intrepid Spirit Center?

  • TBI: All service members, retirees and families
  • Intrepid Spirit Program Specialty evaluations & care: All service members, retirees and families
  • Madigan Intrepid Spirit Transitions (MIST) Intensive Outpatient Program (IOP): Limited to active duty service members only
  • MBSR: All service members, retirees and families


Significant advances in clinical research on TBI and PTSD has resulted in effective and innovative evidence-based treatments, many of which have already been implemented at Madigan’s Intrepid Spirit Center. More research is needed particularly aimed at our service members who experience co-occurring TBI, PTSD, chronic pain, and other physical and behavioral health conditions. Madigan’s Intrepid Spirit Center is now one of 22 Defense and Veterans Brain Injury Center sites where there will occur a collaborative integration of state-of-the-science treatment with timely and innovative clinical research.

Intrepid Spirit/TBI Clinical Team is Comprised of:

Primary Care, Neurology, Psychology, Neuropsychology, Physical Medicine and Rehabilitation, Optometry, Psychiatric NP, PT, OT, Creative Arts Therapist, LPN, Nurse Case Managers, Nurse Educators, Ombudsman (Speech therapy and Integrative modalities including acupuncture, chiropractic care pending)

Traumatic Brain Injury Resources

Defense and Veterans Brain Injury Center:
National Intrepid Center of Excellence:
Centers for Disease Control and Prevention:
Brain Injury alliance of Washington:

Contact Us


Puget Sound Military
Appointment Center: 800-404-4506


Mon - Fri 0730 - 1630
Closed on federal holidays and selected training holidays


Intrepid Spirit Center
90390 Gardner Loop Road
Tacoma, WA 98431

From I-5 North/South take exit 122 and enter Joint Base Lewis-McChord through the Madigan gate. Take a right turn at the first traffic light (Gardner Loop Road). The Intrepid Spirit Center is located behind America’s Credit Union and across from Madigan Army Medical Center on Gardner Loop Road. Parking is available on 3 sides of the building. The building may be entered at the front-facing Gardner Loop Road or from the rear patio. Once you enter the Intrepid Spirit Center, please go to the front desk for assistance.


Madigan Information

Telephone Number(s)

Puget Sound Military Appointment Center:
(800) 404-4506
Hours: Monday-Friday: 6:00 a.m. - 6:00 p.m.
(Appointment Center is Closed on Federal Holidays)

Madigan Directory Assistance:
(253) 968-1110
Health Net Federal Services:    
(844) 866-9378
Madigan Referral Management Center:    
253-968-1145 option #5
Patient Assistance Center:    
(253) 968-1145 
Beneficiary Counseling & Assistance Coordinators:     
(253) 968-1145, option #3
Patient Advocacy
253-968-1145, option #4
Nurse Advice Line (always open):    
(800) TRICARE (874-2273)


Need Guidance About A Referral Or Consultation For Specialty Care? Download The Specialty Care Referral Guide

Your Electronic Health Record

Location: Click Map Below for Directions

9040A Jackson Ave, Joint Base Lewis-McChord, WA 98431


Don't forget to keep your family's information up-to-date in DEERS.