# THE MIRIAM HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFESPAN CORPORATION
- **Other names:** Neurology Clinic at the Miriam Hospital
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366658767
- **Legal business name:** LIFESPAN CORPORATION
- **Authorized official:** EVA GREENWOOD (SVP, FINANCE)
- **Authorized official phone:** (401) 444-7914

## Contact information

- **Practice address:** 164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
- **Practice address phone:** (401) 444-5640
- **Practice address fax:** (401) 444-5462
- **Mailing address:** 15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
- **Mailing address phone:** (401) 444-5640
- **Mailing address fax:** (401) 444-5462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | HOS00122 | RI | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 12/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0646 | NHPRI VENDOR NUMBER | RI |