Organization
THE MIRIAM HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
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) 793-2500
(401) 793-4047
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TM17086
—
RI
Enumeration date
06/01/2006
Last updated
12/11/2025
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