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Organization
STATE OF INDIANA: INDIANA DEPARTMENT OF CORRECTION
Active
Organization
STATE OF INDIANA: INDIANA DEPARTMENT OF CORRECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRIE L. OLSON (CHIEF FINANCIAL OFFICER)
(317) 698-0093
Entity
Organization
Contact information
Practice address
302 W WASHINGTON ST, INDIANAPOLIS, IN 46204
(317) 233-6984
Mailing address
302 W WASHINGTON ST, INDIANAPOLIS, IN 46204
(317) 233-6984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/18/2026
Last updated
08/18/2026
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