Organization
THE MIRIAM HOSPITAL
Active
Parent organization
THE MIRIAM HOSPITAL
Other names
Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MIRIAM HOSPITAL
Authorized official
EVA GREENWOOD (SVP, FINANCE)
(401) 444-7914
Entity
Organization
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 444-5640
(401) 444-5462
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-5640
(401) 444-5462
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HOS0012207
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000003325
BCBSRI GRP NUMBER
RI
Enumeration date
05/01/2007
Last updated
12/11/2025
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