Organization
EMMA PENDLETON BRADLEY HOSPITAL
Active
Organization
EMMA PENDLETON BRADLEY HOSPITAL
Active
Parent organization
LIFESPAN CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN CORPORATION
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 444-5640
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
HOS00123
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH46731
—
RI
Enumeration date
06/18/2007
Last updated
12/11/2025
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