Organization
THE MIRIAM HOSPITAL
Active
Organization
THE MIRIAM HOSPITAL
Active
Other names
The Miriam Hospital TB Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PETER K MARKELL (EVP & CFO)
(401) 444-7914
Entity
Organization
Contact information
Practice address
14 THIRD STREET, PROVIDENCE, RI 02906-2738
(401) 793-7272
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 793-7272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
208800000X
Urology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH30112
—
RI
Enumeration date
09/13/2006
Last updated
03/18/2026
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