NPIMap

Organization Active NPI

Public Hospital District No 1 of Mason County

Doing business as Mason General Hospital Mountain View Women's Health

  • Rural Health Clinic/Center
  • Shelton, WA
National Provider Identifier
1679803126
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
6029267855 Issued in WA
Legal business name
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
Doing business as
Mason General Hospital Mountain View Women's Health
Mason Health-Evergreen Clinic
Practice address
1812 N 13TH Loop Rd
Shelton, WA 98584-2169
Phone
(360) 426-2653
NPI assigned
Jan 6, 2010
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Mr. Eric Moll, CEO
Title
Chief Exectuive Officer
Phone
(360) 427-9556

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Rural Health Clinic/Center 261QR1300X 6029267855 WA Primary

Addresses

Primary practice location

1812 N 13TH Loop Rd
Shelton, WA 98584-2169

Mailing address

1812 N 13TH Loop Rd
Shelton, WA 98584-2169

Other names 2

  • Mason General Hospital Mountain View Women's Health Doing business as
  • Mason Health-Evergreen Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130325000440 WA Part A Provider - Rural Health Clinic 0345139275 Practice locations: Shelton, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679803126. Details of each certification follow.

Rural health clinic certification: CCN 508551

Legal name
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
Doing business as
MASON HEALTH-EVERGREEN CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2009
Last certification
Nov 14, 2017
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
1812 N 13TH Loop Rd
Shelton, WA 98584-2169
Related CCNs
501336

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Public Hosp Dist 1 of Mason18 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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Public Hospital District No 1 of Mason County Organization, Shelton, WA 5% Or Greater Direct Ownership Interest Apr 23, 2009
Operational/Managerial Control Apr 23, 2009
Eric C Moll Individual W-2 Managing Employee Apr 23, 2009

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mason Health-Mason ClinicShelton, WA, CCN 508549 Rural health clinic 5% Or Greater Direct Ownership Interest Oct 22, 2008
Mason Health-Oakland Bay Primary CareShelton, WA, CCN 508527 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 19, 2010
Apr 19, 2010
Mason General Hospital Olympic PhysiciansShelton, WA, CCN 508564 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2013
Mason General Hospital Olympic PhysiciansShelton, WA, CCN 508565 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 1, 2013
Mason Health Hoodsport Primary CareHoodsport, WA, CCN 508566 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2014

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1679803126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N 13TH LOOP RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N 13TH LOOP RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985842169",
            "telephone_number": "360-426-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "MOLL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF EXECTUIVE OFFICER",
        "authorized_official_telephone_number": "360-427-9556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "WA",
            "license": "6029267855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mason General Hospital Mountain View Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mason Health-Evergreen Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, WA

Sources for this page

Verify at the official NPI Registry.