# PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MGH Family Health, Ankle and Foot
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134573272
- **Authorized official:** MR. ERIC MOLL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (360) 427-9556

## Contact information

- **Practice address:** 1812 N 13TH LOOP RD, SHELTON, WA 98584-2169
- **Practice address phone:** (360) 426-3862
- **Mailing address:** 1812 N 13TH LOOP RD, SHELTON, WA 98584-2169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 04/14/2016
- **Last updated:** 04/14/2017