| Mason General Hospital Olympic Physicians | |
|
237 Professional Way Shelton WA 98584-4404 | |
| (360) 426-2500 | |
| Not Available |
| Full Name | Mason General Hospital Olympic Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 237 Professional Way, Shelton, Washington |
| Authorized Official Name and Position | Eric Moll (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3604269554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mason General Hospital Olympic Physicians 237 Professional Way Shelton WA 98584-4404 Ph: (360) 426-2500 | Mason General Hospital Olympic Physicians 237 Professional Way Shelton WA 98584-4404 Ph: (360) 426-2500 |
| NPI Number | 1205264561 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 09/18/2014 |
| Medicare PECOS PAC ID | 0345139275 |
|---|---|
| Medicare Enrollment ID | O20131219001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205264561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 232002969 (Washington) | Primary |
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