SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS, INC. (NPI# 1194927814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194927814 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH REGIONAL MEDICAL CENTER PLYMOUTH CAMPUS, INC. |
| Other Organization Name | PLYMOUTH HEALTH CENTER |
| Practice Address |
116 E Washington St Plymouth IN 46563-1744 |
| Mailing Address |
801 E Lasalle Ave South Bend IN 46617-2814 |
| Practice Telephone | 5749412264 |
| Practice Fax Number | 5749412265 |
| Mailing Telephone | 5749363181 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | NANCY R HELLYER (CEO) |
| Authorized Official Telephone | 5742377982 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Plymouth Health Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174571129 | Saint Joseph Regional Medical Center Plymouth Campus, Inc. | General Acute Care Hospital | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2006-05-04 |
| Street Address |
116 E WASHINGTON ST |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174518393 | Mary Ellen Schwartz | Podiatrist | 116 E Washington St, Plymouth, IN 46563-1744 | 2005-09-14 |
| 1962606897 | Mary Schwartz, Dpm. PC. | Podiatrist | 116 E Washington St, Plymouth, IN 46563-1744 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1437524998 | Amni Transportation Inc | Clinic/Center | 200 Nathan Ln N, 261, Plymouth, MN 55441-6461 | 2015-12-09 |
| 1992728331 | Scott Correctionl Facility | Clinic/Center | 47500 Five Mile Rd, Plymouth, MI 48170-2487 | 2006-07-26 |
| 1821646985 | Minor Medical Squad Pllc | Clinic/Center | 826 Trenton Ln N, Plymouth, MN 55441-4496 | 2019-08-30 |
| 1568892859 | Harbor Health Services, Inc. | Clinic/Center | 10 Cordage Park Cir, Suite 115, Plymouth, MA 02360-7318 | 2013-11-22 |
| 1033327754 | Millennium Pharmacy | Clinic/Center | 1102 Ann Arbor Rd W, Plymouth, MI 48170-2131 | 2007-05-18 |
| 1275687634 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-23 |
| 1104970714 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
| 1235283847 | Martin Tyrrell Washington District Health Department | Clinic/Center | 198 Nc Highway 45 N, Plymouth, NC 27962-9232 | 2007-01-22 |
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| 1861826257 | Montgomery County Free Clinic, Inc | Clinic/Center | 816 Mill St, Crawfordsville, IN 47933-3443 | 2013-08-21 |
| 1750680963 | Care Now Clinics, LLC | Clinic/Center | 11021 Brave Ct, Indianapolis, IN 46236-8237 | 2011-03-28 |
| 1679891360 | Primary Care Medical Home | Clinic/Center | 1089 3rd Ave Sw, Carmel, IN 46032-7584 | 2010-05-05 |
| 1275660888 | Gregory Neil Larkin | Clinic/Center | 704 N Park Ave, Indianapolis, IN 46202-3431 | 2007-02-28 |
| 1831274737 | Wishard Health Services | Clinic/Center | 1002 W. 10th Street, Indianapolis, IN 46202 | 2006-10-26 |
| 1952332298 | Community Healthnet Inc | Clinic/Center | 1021 West 5th Avenue, Gary, IN 46402-1703 | 2006-07-05 |
| 1316561475 | Center for Healing and Hope | Clinic/Center | 902 S Main St, Goshen, IN 46526-4339 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.