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Contact Information

THE MIRIAM HOSPITAL
180 CORLISS ST STE C
PROVIDENCE, RI02904-2602
 Phone: 401-793-4636
 Fax: 401-793-4639
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for THE MIRIAM HOSPITAL · (Female)

NPI Number 1831362813
Status Active
Credentials
Entity Individual
Enumeration date 04/10/2008
Last updated 03/18/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers
  • RI Medicaid TM70395
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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