PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY (NPI# 1164876629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164876629 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY |
| Other Organization Name | MGH FAMILY HEALTH ANKLE & FOOT CLINIC |
| Practice Address |
1812 N 13th Loop Rd Shelton WA 98584-2169 |
| Practice Telephone | 3604263862 |
| Mailing Telephone | 3604263862 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2017-04-14 |
| Authorized Official Name | MR. ERIC MOLL (CEO) |
| Authorized Official Telephone | 3604279556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MGH Family Health Ankle & Foot Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740642024 | Public Hospital District No 1 of Mason County | Clinic/Center | 2964b Limited Ln Nw, Olympia, WA 98502-4577 | 2016-03-24 |
| 1063658953 | Public Hospital District No 1 of Mason County | Family Medicine | 1701 N 13th St, Shelton, WA 98584-2077 | 2008-12-23 |
| 1366609489 | Public Hospital District No 1 of Mason County | General Acute Care Hospital | 901 Mt View Dr Bldg 1, Shelton, WA 98584-4401 | 2008-05-16 |
| 1639778202 | Public Hospital District No 1 of Mason County | Medicare Defined Swing Bed Unit | 901 Mountain View Dr, Shelton, WA 98584-4401 | 2020-10-23 |
| 1134573272 | Public Hospital District No 1 of Mason County | Podiatrist | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2016-04-14 |
| 1306275409 | Public Hospital District No 1 of Mason County | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2013-11-08 |
| 1821427527 | Public Hospital District No 1 of Mason County | Clinic/Center | 237 Professional Way, Shelton, WA 98584-4404 | 2013-11-04 |
| 1548699408 | Public Hospital District No 1 of Mason County | Clinic/Center | 24261 North Us Highway 101, Shelton, WA 98548-0279 | 2013-11-01 |
| 1467881326 | Public Hospital District No 1 of Mason County | Clinic/Center | 24261 North Us Highway 101, Hoodsport, WA 98548-0279 | 2013-11-01 |
| 1306274667 | Public Hospital District No 1 of Mason County | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2013-10-24 |
| Street Address |
1812 N 13TH LOOP RD |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255348074 | John Val Rice | Podiatrist | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2006-08-02 |
| 1134573272 | Public Hospital District No 1 of Mason County | Podiatrist | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2016-04-14 |
| 1033525852 | Carlos Armando Rubio-reyes | Family Medicine | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2014-07-02 |
| 1790013373 | Public Hospital District No 1 of Mason County Washington | Podiatrist | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2009-11-19 |
| 1700111986 | Public Hospital District No 1 of Mason County | Family Medicine | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2009-10-06 |
| 1407863228 | James Anthony Wright | Podiatrist | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2006-08-02 |
| 1164439204 | John V Rice Dpm | Podiatrist | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306274667 | Public Hospital District No 1 of Mason County | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2013-10-24 |
| 1205264561 | Public Hospital District No 1 of Mason County | Clinic/Center | 237 Professional Way, Shelton, WA 98584-4404 | 2013-10-24 |
| 1144451923 | Olympic Physicians, Pllc | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2009-07-28 |
| 1598906455 | Public Hospital District No 1 of Mason County | Clinic/Center | 1701 N 13th St, Shelton, WA 98584-2077 | 2009-03-23 |
| 1821202011 | Olympic Physicians P.l.l.c. | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2007-05-09 |
| 1619180213 | Public Hospital District No 1 of Mason County | Clinic/Center | 247 Professional Way, Shelton, WA 98584 | 2007-05-08 |
| 1881663318 | Olympic Physicians P.l.l.c. | Clinic/Center | 237 Professional Way, Shelton, WA 98584-4404 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811555931 | Okanogan County Public Hospital Dist No 4 | Clinic/Center | 118 N Whitcomb Ave, Tonasket, WA 98855-8803 | 2019-06-04 |
| 1790204154 | Sunnyside Community Hospital Association | Clinic/Center | 715 N Park Ctr, Selah, WA 98942-1174 | 2017-09-15 |
| 1699215384 | Sunnyside Community Hospital Association | Clinic/Center | 505 W 4th Ave, Toppenish, WA 98948-1615 | 2017-03-01 |
| 1609112739 | Grant County Public Hospital District. No. 1 | Clinic/Center | 8420 Aspi Blvd, Moses Lake, WA 98837-1820 | 2012-12-18 |
| 1801188073 | Jefferson County Public Hospital District No 2 | Clinic/Center | 89 Breaker Ln, Port Ludlow, WA 98365-9766 | 2011-05-06 |
| 1255651907 | Family Care Network Pllc | Clinic/Center | 2511 M Ave Ste A, Anacortes, WA 98221-3897 | 2010-06-04 |
| 1871822676 | Public Hospital District 3 of Pacific County | Clinic/Center | 167 1st Avenue North, Ilwaco, WA 98624-0319 | 2009-12-08 |
| 1720276207 | Richard L. Dickson | Clinic/Center | 481 West E St, Forks, WA 98331 | 2007-10-09 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1407055742 | San Juan Healthcare PC | Clinic/Center | 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 | 2007-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.