NPIMap

Organization Active NPI

Public Hopsital District No 1 of Mason County

Doing business as Mason Health-Oakland Bay Primary Care

  • Primary Care Clinic/Center
  • Shelton, WA
National Provider Identifier
1356439699
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PUBLIC HOPSITAL DISTRICT NO 1 OF MASON COUNTY
Doing business as
Mason Health-Oakland Bay Primary Care
Practice address
247 Professional Way
Shelton, WA 98584-0011
Phone
(360) 426-3102
Fax
(360) 426-9866
NPI assigned
Oct 11, 2006
Last updated
Mar 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Moll
Title
Ceo
Phone
(360) 427-9554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

247 Professional Way
Shelton, WA 98584-0011

Mailing address

PO Box 1668
Shelton, WA 98584
Phone (360) 426-3102

Other names 1

  • Mason Health-Oakland Bay Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Public Hosp Dist 1 Maso18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

16916 140th Ave NE
Ste 300
Woodinville, WA 98072
Phone (425) 481-6363

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1356439699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1668",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-426-3102",
            "fax_number": "360-426-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 PROFESSIONAL WAY",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985840011",
            "telephone_number": "360-426-3102",
            "fax_number": "360-426-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOPSITAL DISTRICT NO 1 OF MASON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "MOLL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-427-9554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason Health-Oakland Bay Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.