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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

NPI # 1831362813
LBN Legal business name THE MIRIAM HOSPITAL
Authorized official PETER MARKELL - (E VP & CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/10/2008
Last updated 03/18/2026 - About 3 months ago
Identifiers
RI Medicaid TM70395
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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