| NPI | 1356716351 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2015-12-02 |
| Last Updated | 2020-03-31 |
| Authorized Official | Asif Khan CEO Phone: 2536665912 |
| Mailing Address | P.o. Box 19680 Lakewood, WA 98496 United States Phone: (253) 503-3666 📍 View Map |
| Primary Practice Address | 3800 3rd St Se Puyallup, WA 98374-1109 United States Phone: (253) 200-0415 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WA | 2001900 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QR0405X – Clinic/Center, Rehabilitation, Substance Use Disorder | WA | CP60560378 |
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About NPI 1356716351
Rainier Internal Medicine Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1356716351. The primary specialty listed is Clinic/Center, Rehabilitation, Substance Use Disorder. The organization is located in Puyallup, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-12-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1356716351?
NPI 1356716351 belongs to Rainier Internal Medicine Llc, a Clinic/Center, Rehabilitation, Substance Use Disorder in Puyallup, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1356716351 active?
The current status of NPI 1356716351 in the NPPES registry is Active. The record was last updated on 2020-03-31.
What specialty is NPI 1356716351?
NPI 1356716351 is classified under the taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1356716351?
You can verify NPI 1356716351 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1356716351?
The primary practice address on file for NPI 1356716351 is 3800 3rd St Se, Puyallup, WA 98374-1109. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1356716351 issued?
NPI 1356716351 was first issued (enumerated) on 2015-12-02. The NPPES record was last updated on 2020-03-31.
Practice Location Map
Rainier Internal Medicine Llc is located at 3800 3rd St Se, Puyallup, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Rainier Internal Medicine Llc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1356716351. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Clinic/Center, Rehabilitation, Substance Use Disorder | CP60560378 | WA |