PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY (NPI# 1821427527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821427527 |
| Entity Type | Organization |
| Organization Name | PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY |
| Other Organization Name | MASON GENERAL HOSPITAL OLYMPIC PHYSICIANS |
| Practice Address |
237 Professional Way Shelton WA 98584-4404 |
| Practice Telephone | 3604262500 |
| Mailing Telephone | 3604262500 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Authorized Official Name | MR. ERIC MOLL (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3604279554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mason General Hospital Olympic Physicians | 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 |
| 1164876629 | Public Hospital District No 1 of Mason County | Clinic/Center | 1812 N 13th Loop Rd, Shelton, WA 98584-2169 | 2016-04-20 |
| 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 |
| 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 |
237 PROFESSIONAL WAY |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831179 | Peggy A Hosford | Family Medicine | 237 Professional Way, Shelton, WA 98584-4404 | 2005-06-16 |
| 1578081980 | Alyssa Caryn Abegg-garcia | Registered Nurse | 237 Professional Way, Shelton, WA 98584-4404 | 2017-09-06 |
| 1487190138 | Erin Anderson | Nurse Practitioner | 237 Professional Way, Shelton, WA 98584-4404 | 2017-01-18 |
| 1003212770 | Erin Martinache | Social Worker | 237 Professional Way, Shelton, WA 98584-4404 | 2014-11-07 |
| 1467857532 | Kc Graham | Physician Assistant | 237 Professional Way, Shelton, WA 98584-4404 | 2014-10-30 |
| 1043611429 | Jennifer A Nelson | Nurse Practitioner | 237 Professional Way, Shelton, WA 98584-4404 | 2014-09-04 |
| 1407262496 | Jimmy Ray Wesson Jr. | Internal Medicine | 237 Professional Way, Shelton, WA 98584-4404 | 2014-07-10 |
| 1205264561 | Public Hospital District No 1 of Mason County | Clinic/Center | 237 Professional Way, Shelton, WA 98584-4404 | 2013-10-24 |
| 1518309988 | Rosemary Spyhalsky | Nurse Practitioner | 237 Professional Way, Shelton, WA 98584-4404 | 2013-07-25 |
| 1033452073 | In Kyu Yoo | Internal Medicine | 237 Professional Way, Shelton, WA 98584-4404 | 2013-03-28 |
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| 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 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669508537 | Northwest Indian Treatment Center | Clinic/Center | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2007-02-26 |
| 1669532578 | Squaxin Island Tribe | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2006-12-11 |
| 1306275409 | Public Hospital District No 1 of Mason County | Clinic/Center | 221 Professional Way, Shelton, WA 98584-4404 | 2013-11-08 |
| 1548699408 | Public Hospital District No 1 of Mason County | Clinic/Center | 24261 North Us Highway 101, Shelton, WA 98548-0279 | 2013-11-01 |
| 1679803126 | Public Hospital District No 1 of Mason County | Clinic/Center | 2300 Kati Ct, Suite A, Shelton, WA 98584-1900 | 2010-01-06 |
| 1316174774 | Public Hospital District No 1 of Mason County Wa | Clinic/Center | 2300 Kati Ct, Suite A, Shelton, WA 98584-1900 | 2009-06-12 |
| 1114135779 | Squaxin Island Medicaid Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-18 |
| 1215063169 | Northwest Indian Treatment Center | Clinic/Center | 100 Se Whitener Rd, Shelton, WA 98584-7747 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
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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.