Clinic/Center, Medical Specialty
THE MIRIAM HOSPITAL
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1275810434 · enumerated 2011-11-15 · record updated 2025-12-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. PETER MARKELL, EVP & CFO · (401) 444-7914
Other names: IMMUNOLOGY CENTER AT THE MIRIAM HOSPITAL
Addresses and phones
- Mailing address 15 LA SALLE SQ, PROVIDENCE, RI, 02903-1814 (014) 446-7794 Fax (401) 444-6912 Google Maps Apple Maps OpenStreetMap
- Practice location 180 CORLISS ST STE E1, PROVIDENCE, RI, 02904-2602 (401) 793-7401 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychologist, Clinical 103TC0700X
- Social Worker, Clinical 1041C0700X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Clinic/Center, Medical Specialty 261QM2500X · Primary · License HOS00122 RI
In this directory
RI Providence County Providence Clinic/Center, Medical Specialty
Locations and evidence
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Practice location
PROVIDENCE, RI, 029042602
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.