Organization
SAINT JOSEPH REGIONAL MEDICAL CENTER- PLYMOUTH CAMPUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JAMES KARAM (PRESIDENT)
(574) 335-5000
Entity
Organization
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4000
(574) 948-5454
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
05-005070-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097821
BLUE CROSS
IN
05
—
100269590A
—
IN
01
—
214441600
ACS FEDERAL EMPLOYEES WC
IN
Enumeration date
05/04/2006
Last updated
06/02/2025
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