Provider Type Icon

THE MIRIAM HOSPITAL NPI 1831362813


NPI Information

NPI: 1831362813
Provider Name: THE MIRIAM HOSPITAL

Doing Business As: THE MEN'S HEALTH CENTER

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
180 CORLISS ST STE C
PROVIDENCE, RI
ZIP 02904
Phone: (401) 793-4636
Get Directions

THE MIRIAM HOSPITAL is an adult medicine family medicine in Providence, RI. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. THE MIRIAM HOSPITAL NPI is 1831362813. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As The Men's Health Center.

The provider's business location address is:

180 CORLISS ST STE C
PROVIDENCE, RI
ZIP 02904-602
Phone: (401) 793-4636
Fax: (401) 793-4639

The provider's authorized official is Peter K Markell .
The authorized official title is E Vp & Cfo and has the following contact phone number (401) 444-7914.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 11/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
2207Q00000XFamily MedicineNo
3208800000XUrologyNo
4207QA0505XFamily MedicineAdult MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TM70395MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.