Rainier State School
Intellectual Disabilities Intermediate Care Facility · Buckley, WA
Practice location
2120 Ryan RdBuckley, WA 98321-9115
- Phone
- (360) 829-1111
- Fax
- (360) 829-3088
NPI record
- NPI
- 1164547626
- Entity type
- Organization (Type 2)
- Enumeration date
- March 20, 2007
- Last updated
- January 3, 2023
- Certified
- January 3, 2023
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X |
— | — |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X |
— | — |
Authorized official
- Name
- Colleen T Peck, MD
- Title
- Medical Director
- Phone
- (425) 301-9856
About Rainier State School
Rainier State School is a healthcare organization registered in the NPI registry with the primary taxonomy Intellectual Disabilities Intermediate Care Facility (code 315P00000X). The practice location is 2120 Ryan Rd, Buckley, WA 98321-9115. The NPI number 1164547626 was assigned on March 20, 2007 and the record was last updated on January 3, 2023.
The authorized official for this organization is Colleen T Peck, MD, Medical Director.
Frequently asked questions
What is the NPI number of Rainier State School?
The NPI number is 1164547626.
What is the phone number of Rainier State School?
The phone number listed for the practice location is (360) 829-1111.
Where is Rainier State School located?
2120 Ryan Rd, Buckley, WA 98321-9115.
What is the taxonomy code for Rainier State School?
The primary taxonomy code is 315P00000X – Intellectual Disabilities Intermediate Care Facility; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.