Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC
Deactivated OrganizationSAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH CAMPUS INC is a Non-Pharmacy Dispensing Site organization located in PLYMOUTH, Indiana. NPI 1093102162 is deactivated in the NPPES registry. Verify at CMS.
Non-Pharmacy Dispensing Site · PLYMOUTH, IN
This NPI has been deactivated.
The record was deactivated on January 26, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1093102162
- Provider Type
- Organization
- NPI Issued
- Apr 16, 2015 (5.7808219178082 yrs)
- Last Updated
- Aug 30, 2023
- Deactivated
- Jan 26, 2021
Practice Information
- Address
-
1915 LAKE AVEPLYMOUTH, IN, 465639366Browse IN providers · Browse ZIP 46563
- Phone
- 5749484305
- Primary Specialty
-
Non-Pharmacy Dispensing Site
332900000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.