OrganizationActive
Lifespan Physician Group, Inc.
NPI 1912856154 · Ambulatory Surgical Clinic/Center · Providence, RI
Provider details
- NPI number
- 1912856154
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Lifespan Physician Group Inc
- Organization subpart
- Yes
- Authorized official
- Christine Rawnsley, Vp Revenue Cycle(401) 444-6905
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
195 Collyer St Ste 104
Providence, RI 02904-1869
Phone: (401) 276-2026
Fax: (401) 276-2025
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Other names (DBA / former)
- Doing business as
- Brown Health Medical Group
- Doing business as
- Brown Health Medical Group Outpatient Surgery Center
Registry dates
- Enumerated
- 2026-01-22
- Last updated
- 2026-03-20
- Certified
- 2026-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.