OrganizationActive
The Miriam Hospital
NPI 1275810434 · Medical Specialty Clinic/Center · Providence, RI
Provider details
- NPI number
- 1275810434
- Entity type
- Organization
- Primary specialty
- Medical Specialty 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
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Practice location
180 Corliss St Ste E1
Providence, RI 02904-2602
Phone: (401) 793-7401
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Other names (DBA / former)
- Other name
- Immunology Center at the Miriam Hospital
- Other name
- Immunology Center at the Miriam Hospital
Additional practice locations (2)
- 180 Corliss St Ste E2Providence, RI 02904-2602Phone: (401) 793-2928
- 180 Corliss St Ste FProvidence, RI 02904-2602Phone: (401) 793-4715
Registry dates
- Enumerated
- 2011-11-15
- 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.