OrganizationActive
The Miriam Hospital
NPI 1235215450 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Providence, RI
Provider details
- NPI number
- 1235215450
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Lifespan Corporation
- Organization subpart
- Yes
- Authorized official
- Peter Markell, Evp & Cfo(401) 444-7914
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 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
164 Summit Ave
Providence, RI 02906-2853
Phone: (401) 793-2500
Street-level locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Other names (DBA / former)
- Other name
- Dialysis Center at the Miriam Hospital
- Other name
- Dialysis Center at the Miriam Hospital
Registry dates
- Enumerated
- 2006-10-31
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.