PUBLIC HOPSITAL DISTRICT NO 1 OF MASON COUNTY (NPI# 1356439699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356439699 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOPSITAL DISTRICT NO 1 OF MASON COUNTY |
| Other Organization Name | MASON HEALTH-OAKLAND BAY PRIMARY CARE |
| Practice Address |
247 Professional Way Shelton WA 98584-0011 |
| Mailing Address |
Po Box 1668 Shelton WA 98584 |
| Practice Telephone | 3604263102 |
| Practice Fax Number | 3604269866 |
| Mailing Telephone | 3604263102 |
| Mailing Fax Number | 3604269866 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-03-24 |
| Authorized Official Name | MR. ERIC MOLL (CEO) |
| Authorized Official Telephone | 3604279554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mason Health-Oakland Bay Primary Care | Doing Business As Name - Organization |
| MGH Oakland Bay Pediatrics | Doing Business As Name - Organization |
| Street Address |
247 PROFESSIONAL WAY |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-0011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407863467 | David Arthur Myers | Pediatrics | 247 Professional Way, Shelton, WA 98584-4404 | 2006-08-02 |
| 1710301296 | Alexandra Danae Rhodes | Pediatrics | 247 Professional Way, Shelton, WA 98584 | 2014-02-05 |
| 1578996518 | Iris Ruedas Malit | Pediatrics | 247 Professional Way, Shelton, WA 98584-4404 | 2013-08-13 |
| 1790916054 | Roseann Rayos | Pediatrics | 247 Professional Way, Shelton, WA 98584-4404 | 2009-08-05 |
| 1619180213 | Public Hospital District No 1 of Mason County | Clinic/Center | 247 Professional Way, Shelton, WA 98584 | 2007-05-08 |
| 1942310099 | Therese Eileen Pizanti | Nurse Practitioner | 247 Professional Way, Shelton, WA 98584-4404 | 2006-08-30 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528455623 | Thehealingpractice LLC | Clinic/Center | 555 Bridgeport Ave, Shelton, CT 06484-4749 | 2015-04-16 |
| 1417156183 | Olympic Physicians P.l.l.c. | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2007-07-13 |
| 1730399411 | Domenic W. Casablanca, M.d., P.C. | Clinic/Center | 4 Corporate Dr, Suite 195, Shelton, CT 06484-6211 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315808 | Vera Whole Health Wa, PC | Clinic/Center | 6700 Fort Dent Way Ste 100, Tukwila, WA 98188-2500 | 2020-08-05 |
| 1063037034 | Pioneer Family Medicine, Pllc | Clinic/Center | 20 E J St Ste 2b, Deer Park, WA 99006-8500 | 2020-06-15 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1578183729 | Family Care Network Pllc | Clinic/Center | 3548 Meridian St, Suite #101-b, Bellingham, WA 98225 | 2020-04-17 |
| 1548800451 | Vera Whole Health Wa PC | Clinic/Center | 1601 N Division St, Spokane, WA 99207-2427 | 2020-01-08 |
| 1821634312 | Columbia Basin Mobile Medicine LLC | Clinic/Center | 1357 Platinum Pl, West Richland, WA 99353-5108 | 2019-11-20 |
| 1063056497 | A Community Wellness Clinic LLC | Clinic/Center | 2405 E 17th Ave Ste 113, Spokane, WA 99223-5122 | 2019-10-29 |
| 1013550987 | Rejuventa Medical Corp. | Clinic/Center | 107 North Tower Ave Suite 17, Centralia, WA 98531-4253 | 2019-10-23 |
| 1023668407 | Vera Whole Health Wa, PC | Clinic/Center | 4933 Evergreen Way, Everett, WA 98203-2828 | 2019-09-17 |
| 1679042501 | Family and Wellness Medicine | Clinic/Center | 34004 16th Ave S Ste 100, Federal Way, WA 98003-8905 | 2018-11-20 |
| 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.