Provider Demographics
NPI:1528154101
Name:RAINIER EMERGENCY SERVICES PS
Entity type:Organization
Organization Name:RAINIER EMERGENCY SERVICES PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:425-831-0777
Mailing Address - Street 1:209 MAIN AVE SOUTH
Mailing Address - Street 2:SUITE 115
Mailing Address - City:NORTH BEND
Mailing Address - State:WA
Mailing Address - Zip Code:98045
Mailing Address - Country:US
Mailing Address - Phone:425-831-0777
Mailing Address - Fax:425-831-0505
Practice Address - Street 1:209 MAIN AVE SOUTH
Practice Address - Street 2:SUITE 115
Practice Address - City:NORTH BEND
Practice Address - State:WA
Practice Address - Zip Code:98045
Practice Address - Country:US
Practice Address - Phone:425-831-0777
Practice Address - Fax:425-831-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00027545261QE0002X, 261QU0200X
WAMD00034855261QM1300X
WAAP30007126261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Not Answered261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Not Answered261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Not Answered261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA880183Medicare ID - Type Unspecified