NPIMap

Organization Active NPI

Rainier Internal Medicine LLC

Doing business as Northwest Integrated Health

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Puyallup, WA
National Provider Identifier
1356716351
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
CP60560378 Issued in WA
Legal business name
RAINIER INTERNAL MEDICINE LLC
Doing business as
Northwest Integrated Health
Practice address
3800 3Rd St SE
Puyallup, WA 98374-1109
Phone
(253) 200-0415
NPI assigned
Dec 2, 2015
Last updated
Mar 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Asif Khan, M.D.NPI 1821044520
Title
Ceo
Phone
(253) 666-5912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X CP60560378 WA Primary

Addresses

Primary practice location

3800 3Rd St SE
Puyallup, WA 98374-1109

Mailing address

P.O. Box 19680
Lakewood, WA 98496
Phone (253) 503-3666

Other practice location 1

9720 S Tacoma Way
Lakewood, WA 98499-4456
Phone (253) 503-3666

Other practice location 2

5929 Westgate Blvd
Tacoma, WA 98406-2567
Phone (253) 503-0226

Other practice location 3

3727 S Tacoma Way
Tacoma, WA 98409-3134
Phone (253) 300-7474

Other identifiers 1

IdentifierTypeStateIssuer
2001900MedicaidWA

Other names 1

  • Northwest Integrated Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1107526Northwest Integrated Health3800 3Rd St SE, Puyallup, WA 98374Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3727 South Tacoma Way
Tacoma, WA 98409
Phone (253) 300-7474

5929 Westgate Blvd
Tacoma, WA 98406
Phone (253) 503-0226

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1356716351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 19680",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "98496",
            "telephone_number": "253-503-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 3RD ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983741109",
            "telephone_number": "253-200-0415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9720 S Tacoma Way",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984994456",
            "country_code": "US",
            "telephone_number": "253-503-3666",
            "fax_number": "253-503-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5929 Westgate Blvd",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984062567",
            "country_code": "US",
            "telephone_number": "253-503-0226",
            "fax_number": "253-625-7912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 S Tacoma Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984093134",
            "country_code": "US",
            "telephone_number": "253-300-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAINIER INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ASIF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-666-5912",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "CP60560378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.