# SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
- **Other names:** St Joseph Regional Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093102162
- **Legal business name:** SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
- **Authorized official:** CAROL TINCHER PHARM D (PHARMACY MANAGER)
- **Authorized official phone:** (574) 948-4305

## Contact information

- **Practice address:** 1915 LAKE AVE, PLYMOUTH, IN 46563-9366
- **Practice address phone:** (574) 948-4305
- **Mailing address:** 6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
- **Mailing address phone:** (952) 653-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2015
- **Last updated:** 08/30/2023