Clinic/Center, Multi-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 Plan acceptance stays unpublished until the practice reports it.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 1598978744 · enumerated 2007-05-07 · record updated 2026-03-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: PETER MARKELL, E VP & CFO · (401) 444-7914
Other names: THE MIRIAM HOSPITAL PROFESSIONAL SERVICES
Addresses and phones
- Mailing address 15 LA SALLE SQ, PROVIDENCE, RI, 02903-1814 (401) 444-6779 Fax (401) 444-6912 Google Maps Apple Maps OpenStreetMap
- Practice location 164 SUMMIT AVE, PROVIDENCE, RI, 02906-2853 (401) 444-5640 Fax (401) 444-5462 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X
- Pathology, Hematology 207ZH0000X
- Clinic/Center 261Q00000X · License hos00122 RI
- Pathology, Cytopathology 207ZC0500X
- Pathology, Anatomic Pathology 207ZP0101X
- Nurse Practitioner 363L00000X
- Pathology, Anatomic Pathology & Clinical Pathology 207ZP0102X
- Physician Assistant, Medical 363AM0700X
- Pathology, Clinical Pathology/Laboratory Medicine 207ZP0105X
- Pathology, Medical Microbiology 207ZM0300X
- Surgery 208600000X
- Nurse Practitioner, Adult Health 363LA2200X
- Clinic/Center, Multi-Specialty 261QM1300X · Primary
In this directory
RI Providence County Providence Clinic/Center, Multi-Specialty
Locations and evidence
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Practice location
PROVIDENCE, RI, 029062853
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.