# THE MIRIAM HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770520462
- **Authorized official:** PETER K MARKELL (E VP & CFO)
- **Authorized official phone:** (401) 444-7914

## Contact information

- **Practice address:** 164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
- **Practice address phone:** (401) 793-2500
- **Practice address fax:** (401) 793-4047
- **Mailing address:** 15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
- **Mailing address phone:** (401) 444-6779
- **Mailing address fax:** (401) 444-6912

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 12/11/2025