OrganizationActive
Rainier State School
NPI 1164547626 · Intellectual Disabilities Intermediate Care Facility · Buckley, WA
Provider details
- NPI number
- 1164547626
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Colleen Peck, Medical Director(425) 301-9856
Specialties & taxonomies
Nursing & Custodial Care Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2120 Ryan Rd
Buckley, WA 98321-9115
Phone: (360) 829-1111
Fax: (360) 829-3088
Street-level locationGet directions
Mailing address
2120 Ryan Rd
Buckley, WA 98321-9115
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2023-01-03
- Certified
- 2023-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.