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Contact Information

PUBLIC HOSPITAL DISTRICT NO. 1 OF MASON COUNTY WASHINGTON
901 MOUNTAIN VIEW DR
SHELTON, WA98584-4401
 Phone: 360-427-9541
 Fax: 360-427-3617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for PUBLIC HOSPITAL DISTRICT NO. 1 OF MASON COUNTY WASHINGTON

NPI Number 1134255110
LBN Legal business name PUBLIC HOSPITAL DISTRICT NO. 1 OF MASON COUNTY WASHINGTON
Authorized official HARRY MILLER - (DIRECTOR PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2007
Last updated 08/22/2016 - About 10 years ago
Identifiers
WA License # PHAR.CF.00000998
WA Medicaid 3361706
Other 2107424 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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