RAINIER STATE SCHOOL
NPI 1164547626
Intermediate Care Facility, Intellectual Disabilities in Buckley, WA

Q: What is Rainier State School's NPI number?

The NPI number for Rainier State School is 1164547626. It was assigned to this organization in the NPPES registry on March 20, 2007.

Q: What is Rainier State School's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Active since March 20, 2007CLIA 50D0065621 · Microscopy

2120 RYAN RD, BUCKLEY, WA 98321(360) 829-1111(360) 829-3088 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rainier State School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAINIER STATE SCHOOL (NPI 1164547626) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Buckley, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Colleen T Peck, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164547626

Entity TypeOrganization

Primary Taxonomy315P00000X

Legal Business NameRAINIER STATE SCHOOL

Location Address2120 RYAN RDBuckley, WA 98321-9115

Mailing Address2120 Ryan RdBuckley, WA 98321-9115 · (360) 829-1111 · Fax (360) 829-3088

Phone(360) 829-1111

Fax(360) 829-3088

Organization SubpartNo

Authorized OfficialColleen T PeckMedical Director · (425) 301-9856

Enumeration DateMarch 20, 2007

Last NPPES UpdateJanuary 3, 2023

NPPES CertifiedJanuary 3, 2023

✔ NPI 1164547626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities

Taxonomy Code315P00000X

Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X

2120 RYAN RD, Buckley, WA 98321

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D0065621

Rainier School · Buckley, WA

Active · expires Apr 4, 2028

CLIA Number50D0065621

Laboratory TypeIntermediate Care Facility For Mentally Retarded

Certificate Effective DateSeptember 30, 2008

Certificate Expiration DateApril 4, 2028

Laboratory DirectorCathlyn Klassen

Laboratory Phone(360) 829-1111

Laboratory LocationRainier School2120 Ryan Road, Buckley, WA 98321

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADAM JOHN TABET M.D.

Psychiatry & Neurology (Psychiatry)