National Provider Identifier Database

RAINIER STATE SCHOOL
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

RAINIER STATE SCHOOL
2120 RYAN RD
BUCKLEY, WA98321-9115
Phone: 360-829-1111
Fax: 360-829-3088
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for RAINIER STATE SCHOOL

NPI Number 1164547626
Legal business name
LBN
RAINIER STATE SCHOOL
Authorized official COLLEEN PECK - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/20/2007
Last updated 01/03/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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