THE MIRIAM HOSPITAL

General Acute Care Hospital · PROVIDENCE, RI

Organization Active NPI 1487649430

Taxonomy & licensure

Specialty	Code	Primary	License	State
General Acute Care Hospital	282N00000X	✓	122	RI

At a glance

NPI: 1487649430
Entity type: Organization
Enumerated: 2005-09-15
Last updated (NPPES): 2025-10-21

Location

Practice address: 164 SUMMIT AVE, PROVIDENCE, RI, 029062853
Phone: 4014446966
Mailing address: 15 LA SALLE SQ, PROVIDENCE, RI, 029031814

Organization

Authorized official: PETER MARKELL — E VP & CFO
Subpart: Yes
Parent organization: LIFESPAN CORPORATION

Other identifiers

1937 — NHPRI HOSPITAL PROV ID (RI)
900949 — TUFTS OP PROVIDER ID (RI)
RI0017 — HEALTHNET NORTH EAST PROV (RI)
H00108 — BLUE CHIP RI PROVIDER ID (RI)
4100012 (RI)
900197 — HARVARD HLTH PROVIDER ID (RI)
994559 — CONNECTICARE (RI)
A0290600 — JOHN DEERE PROV ID (RI)
1512083 — GATEWAY HLTH PROVIDER ID (RI)
5000417 — UHCNE HOSPITAL PROV ID (RI)
802308 — MVP PROVIDER ID (RI)
0008269 — NHPMA HOSPITAL PROV ID (RI)
OP00012 (RI)
0000000004 — BCBSRI HOSPITAL PROV ID (RI)
000000022028 — BOSTON MED CTR PROV ID (RI)
0007373 — AETNA HOSPITAL PROV ID (RI)
904801 — TUFTS INPT PROVIDER ID (RI)

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See all General Acute Care Hospital providers in Rhode Island →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.