Organization
THE MIRIAM HOSPITAL
Active
Parent organization
LIFESPAN CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPAN CORPORATION
Authorized official
PETER K MARKELL (E VP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 444-6966
(401) 444-5462
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-5640
(401) 444-5862
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
122
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000004
BCBSRI HOSPITAL PROV ID
RI
01
—
000000022028
BOSTON MED CTR PROV ID
RI
01
—
0007373
AETNA HOSPITAL PROV ID
RI
01
—
0008269
NHPMA HOSPITAL PROV ID
RI
01
—
1512083
GATEWAY HLTH PROVIDER ID
RI
01
—
1937
NHPRI HOSPITAL PROV ID
RI
05
—
4100012
—
RI
01
—
5000417
UHCNE HOSPITAL PROV ID
RI
01
—
802308
MVP PROVIDER ID
RI
01
—
900197
HARVARD HLTH PROVIDER ID
RI
01
—
900949
TUFTS OP PROVIDER ID
RI
01
—
904801
TUFTS INPT PROVIDER ID
RI
01
—
994559
CONNECTICARE
RI
01
—
A0290600
JOHN DEERE PROV ID
RI
01
—
H00108
BLUE CHIP RI PROVIDER ID
RI
05
—
OP00012
—
RI
01
—
RI0017
HEALTHNET NORTH EAST PROV
RI
Enumeration date
09/15/2005
Last updated
10/21/2025
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