Rainier State School

Rainier State School is a healthcare organization registered as Intellectual Disabilities Intermediate Care Facility in Buckley, WA, holding Type 2 (organization) NPI 1164547626 since 2007. The authorized official on file is Colleen Peck, Medical Director.

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NPI	1164547626
Entity type	Organization (Type 2)
Legal business name	Rainier State School
Practice address	2120 RYAN RD, Buckley, WA, 98321
Phone	3608291111
Fax	3608293088
Enumeration date	2007-03-20
Last updated in NPPES	2023-01-03

Authorized official

Name	Colleen Peck
Title	Medical Director
Phone	4253019856

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility	Secondary	—	—
315P00000X	Intellectual Disabilities Intermediate Care Facility	Primary	—	—

Copy-ready billing details

Provider: Rainier State School
NPI: 1164547626
Taxonomy: 315P00000X (Intellectual Disabilities Intermediate Care Facility)
Address: 2120 RYAN RD, Buckley, WA, 98321

Providers at this address

NPI	Name	Type	Specialty	Location
1679650576	Ebrahim Mirjalili	Individual	General Practice Dentistry	Buckley, WA
1740355320	Washington State Department of Social and Health Services	Organization	Long Term Care Pharmacy	Buckley, WA
1124160148	Adam Tabet	Individual	Psychiatry Physician	Buckley, WA
1528197340	Sherri Barrett	Individual	Physical Medicine & Rehabilitation Physician	Buckley, WA
1710017736	James Raugust	Individual	General Practice Dentistry	Buckley, WA
1285857136	Jimmy Chubbuck	Individual	Family Medicine Physician	Buckley, WA

Verify this record

Cross-check NPI 1164547626 against the authoritative CMS record: view Rainier State School on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Rainier State School located?

The practice location on file with NPPES is in Buckley, WA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-01-03. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2023-01-03.