Public Hopsital District No 1 of Mason County
Organization Active NPI Primary Care Clinic/Center · Shelton, WA
NPI 1356439699 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1356439699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- PUBLIC HOPSITAL DISTRICT NO 1 OF MASON COUNTY
- Practice address
- 247 Professional Way
Shelton, WA 98584-0011 - Phone
- (360) 426-3102
- Fax
- (360) 426-9866
- NPI assigned
- Oct 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Eric Moll
- Title
- Ceo
- Phone
- (360) 427-9554
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Public Hospital District No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
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
- Mason Health-Oakland Bay Primary Care
Other providers in Shelton, WA
- Jennifer Joline Proctor
- Providence Health & Services - Washington
- Providence Health & Services Washington
- Valerie Pruett
- Kate Przybycien
- Public Hospital District No 1 of Mason County
- Public Hospital District No 1 of Mason County
- Public Hospital District No 1 of Mason County
- Public Hospital District No 1 of Mason County
- Public Hospital District No 1 of Mason County
All providers in Shelton, WA · Primary Care Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.