Provider Demographics
NPI:1588659528
Name:RHODE ISLAND HOSPITAL
Entity type:Organization
Organization Name:RHODE ISLAND HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:K
Authorized Official - Last Name:MARKELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-444-7914
Mailing Address - Street 1:117 ELLENFIELD ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4513
Mailing Address - Country:US
Mailing Address - Phone:401-444-6779
Mailing Address - Fax:401-444-6912
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-444-6966
Practice Address - Fax:401-444-5462
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIFESPAN CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-15
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHOS00121282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI000000022148OtherBOSTON MEDICAL PROV ID
RIA0290301OtherJOHN DEERE HLTH PROV ID
RIH00101OtherBCHIP HOSPITAL PROV ID
RI0009790OtherAETNA PROVIDER ID
RI5000801OtherUHCNE HOSPITAL PROV ID
RI1931OtherNHPRI HOSPITAL PROV ID
RI0696OtherMVP PROVIDER ID
RI990626OtherCONNECTICARE PROV ID
RIOP00007Medicaid
RI900105OtherTUFTS OP PROVIDER ID
RI07278OtherGHI HMO PROVIDER ID
RI0000000006OtherBCBSRI HOSPITAL PROV ID
RI0007428OtherNHPMA HOSPITAL PROV ID
RI4100007Medicaid
RI1509503OtherGATEWAY HLTH PROVIDER ID
RI904803OtherTUFTS IP PROVIDER ID
RI4100007Medicaid
RI=========016OtherTRICARE HOSP PROVIDER ID