THE MIRIAM HOSPITAL (NPI# 1164716031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164716031 |
| Entity Type | Organization |
| Organization Name | THE MIRIAM HOSPITAL |
| Other Organization Name | WOMENS MEDICINE COLLABORATIVE |
| Practice Address |
146 W River St Providence RI 02904-2609 |
| Mailing Address |
117 Ellenfield St Patient Financial Services Providence RI 02905-4513 |
| Practice Telephone | 4017933215 |
| Mailing Telephone | 4014445640 |
| Mailing Fax Number | 4014445462 |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2013-02-14 |
| Authorized Official Name | MRS. MARY A WAKEFIELD (EXECUTIVE VP & CFO) |
| Authorized Official Telephone | 4014447093 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFESPAN CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
HOS00122 | RI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Womens Medicine Collaborative | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518482389 | The Miriam Hospital | Clinic/Center | 1454 S County Trl Ste 1100, East Greenwich, RI 02818-1750 | 2017-08-14 |
| 1902027808 | The Miriam Hospital | Clinic/Center | 11 Summit Ave, Providence, RI 02906-2506 | 2007-05-01 |
| 1568567790 | The Miriam Hospital | Nurse Practitioner | 14 Third Street, Providence, RI 02906-2738 | 2006-09-13 |
| 1225073638 | The Miriam Hospital | Clinical Nurse Specialist | 146 W River St Ste 11a, Providence, RI 02904-2609 | 2006-06-19 |
| 1588088850 | The Miriam Hospital | Internal Medicine | 164 Summit Ave, Fain Bldg, Providence, RI 02906-2853 | 2014-02-07 |
| 1740615277 | The Miriam Hospital | General Acute Care Hospital | 164 Summit Ave, Providence, RI 02906-2853 | 2013-09-03 |
| 1669726451 | The Miriam Hospital | Clinic/Center | 164 Summit Ave, 2rd Floor Fain Building, Providence, RI 02906-2853 | 2012-11-01 |
| 1649538323 | The Miriam Hospital | Clinic/Center | 146 W River St, Providence, RI 02904-2609 | 2012-05-01 |
| 1275810434 | The Miriam Hospital | Psychiatry & Neurology | 1125 N Main St, Providence, RI 02904-5739 | 2011-11-15 |
| 1851677470 | The Miriam Hospital | Internal Medicine | 208 Collyer St, Suite 100, Providence, RI 02904-1560 | 2011-10-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THE MIRIAM HOSPITAL | 164 Summit Ave, Providence, RI 02906-2894 |
| Street Address |
146 W RIVER ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184609398 | Michael A Friedman | Psychiatry & Neurology | 146 W River St, Suite 11b, Providence, RI 02904-2609 | 2005-12-09 |
| 1962981357 | Erin Colleen Murphy Bernardo | Nurse Practitioner | 146 W River St, Providence, RI 02904-2609 | 2018-08-07 |
| 1679069652 | Leanna Olitsky | Social Worker | 146 W River St, Providence, RI 02904-2609 | 2018-07-02 |
| 1225497076 | Jean Capone | Nurse Practitioner | 146 W River St, Suite 11a, Providence, RI 02904-2609 | 2016-02-22 |
| 1235594797 | Anna Elizabeth Schierberl Scherr | Psychologist | 146 W River St, Suite 11a, Providence, RI 02904-2609 | 2015-12-28 |
| 1134599343 | Mara Reichenberg | Social Worker | 146 W River St, Providence, RI 02904-2609 | 2015-09-30 |
| 1982099784 | Margaret Bublitz | Psychologist | 146 W River St, Providence, RI 02904-2609 | 2015-03-30 |
| 1104253566 | Jared Devin Minkel | Psychologist | 146 W River St, Providence, RI 02904-2609 | 2013-10-01 |
| 1598107260 | Indira Sadhu | Physician Assistant | 146 W River St, Providence, RI 02904-2609 | 2013-07-23 |
| 1346686102 | Audrey Maria Boyle | Nurse Practitioner | 146 W River St, Suite 11d, Providence, RI 02904-2609 | 2013-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033345632 | Barrington Urgent Care, PC | Clinic/Center | 381 Wickenden St, Providence, RI 02903-4425 | 2009-06-09 |
| 1124516349 | Recovery Connection Centers of America, Inc. | Clinic/Center | 381 Wickenden St, Providence, RI 02903-4425 | 2018-04-24 |
| 1669726451 | The Miriam Hospital | Clinic/Center | 164 Summit Ave, 2rd Floor Fain Building, Providence, RI 02906-2853 | 2012-11-01 |
| 1194977058 | Rhode Island Hospital | Clinic/Center | 167 Point St, Providence, RI 02903-4771 | 2008-10-22 |
| 1972768174 | Rhode Island Hospital | Clinic/Center | 593 Eddy St, Providence, RI 02903-4923 | 2008-07-28 |
| 1942323068 | Rhode Island Hospital | Clinic/Center | 593 Eddy St, Providence, RI 02903-4923 | 2007-04-06 |
| 1154443885 | Meeting Street Center | Clinic/Center | 1000 Eddy Street, Providence, RI 02905 | 2007-04-04 |
| 1053447433 | Family Service of Rhode Island Inc | Clinic/Center | 1246 Chalkstone Ave, Providence, RI 02908-3904 | 2007-02-27 |
| 1639214281 | Family Service of Rhode Island Inc. | Clinic/Center | 55 Hope St, Providence, RI 02906-2001 | 2007-02-21 |
| 1588709133 | Family Service of Rhode Island Inc. | Clinic/Center | 55 Hope St, Providence, RI 02906-2001 | 2007-02-21 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on THE MIRIAM HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.