Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Saint Joseph Regional Medical Center - Plymouth Campus Inc

Organization Non-Pharmacy Dispensing Site · NPI 1093102162

Saint Joseph Regional Medical Center - Plymouth Campus Inc is a Non-Pharmacy Dispensing Site in Plymouth, Indiana. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1915 Lake Ave
Plymouth, IN 46563-9366
Phone: (574) 948-4305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X

Record details

NPI number1093102162
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSaint Joseph Regional Medical Center - Plymouth Campus Inc
Authorized official Carol Tincher — Pharmacy Manager · (574) 948-4305
Other names St Joseph Regional Medical Center
NPI enumeratedApril 16, 2015
Last updated in NPPESAugust 30, 2023
Certification dateJanuary 26, 2021
Mailing address6501 City West Pkwy, Eden Prairie, MN 55344-3248