Organization
EMMA PENDLETON BRADLEY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
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
—
BH06997
—
RI
Enumeration date
06/18/2007
Last updated
12/11/2025
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