# PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY WASHINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mason General Hospital Ankle Foot
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437486248
- **Authorized official:** MR. ERIC MOLL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (360) 427-9554

## Contact information

- **Practice address:** 1812 N 13TH ST, SHELTON, WA 98584
- **Practice address phone:** (360) 427-0366
- **Mailing address:** 1812 N 13TH ST, SHELTON, WA 98584
- **Mailing address phone:** (360) 427-0366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 10/01/2014