Organization · Type 2 NPI

Lifespan Physician Group, Inc.

Ambulatory Surgical Clinic/Center · Providence, RI

NPI number 1912856154 Active

Practice location

195 Collyer St Ste 104
Providence, RI 02904-1869

Call (401) 276-2026 Map

Fax (401) 276-2025

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Specialties and licenses

Taxonomy	Code	License
Ambulatory Surgical Clinic/Center Primary	261QA1903X	None listed

Ambulatory Surgical Clinic/Center: Definition to come...

Another provider at this address

Brown Urology, Inc.Ambulatory Surgical Clinic/Center Providence, RI NPI 1336658145

Other ambulatory surgical clinic/center providers in Providence

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NPI record

NPI: 1912856154
Entity type: Organization (Type 2)
Issued: Jan 22, 2026
Last updated: Mar 20, 2026
Status: Active
Subpart: Yes of Lifespan Physician Group Inc

Other names

Brown Health Medical Group · doing business as
Brown Health Medical Group Outpatient Surgery Center · doing business as

Authorized official

Christine Rawnsley
VP Revenue Cycle
(401) 444-6905

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1912856154

Lifespan Physician Group, Inc.'s National Provider Identifier is 1912856154, issued on Jan 22, 2026. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Providence, RI. The record was last updated on Mar 20, 2026.