Provider Demographics
NPI:1457346413
Name:NEWPORT HOSPITAL
Entity Type:Organization
Organization Name:NEWPORT HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:E VP & CFO
Authorized Official - Prefix:
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:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4513
Mailing Address - Country:US
Mailing Address - Phone:401-444-5640
Mailing Address - Fax:401-444-5462
Practice Address - Street 1:11 FRIENDSHIP ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2271
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:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI127282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI0014OtherHEALTHNET NE PROV ID
RI0000000005OtherBCBSRI PROVIDER ID
RI1858OtherMVP PROVIDER ID
RI5000226OtherUHCNE HOSPITAL PROV ID
RI905155OtherTUFTS INPT PROVIDER ID
RI000000023994OtherBOSTON MED CTR PROV ID
RI0060318OtherAETNA PROVIDER ID
RI4100006Medicaid
RIA0290102OtherJOHN DEERE HLTH PROV ID
RIOP00006Medicaid
RI900253OtherTUFTS OP PROVIDER ID
RI1929OtherNHPRI PROVIDER ID
RI999076OtherCONNECTICARE PROV ID
RIH00103OtherBLUE CHIP PROVIDER ID
RI999076OtherCONNECTICARE PROV ID
RIOP00006Medicaid