# STATE OF INDIANA: INDIANA DEPARTMENT OF CORRECTION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861307340
- **Authorized official:** CHERRIE L. OLSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (317) 698-0093

## Contact information

- **Practice address:** 302 W WASHINGTON ST, INDIANAPOLIS, IN 46204
- **Practice address phone:** (317) 233-6984
- **Mailing address:** 302 W WASHINGTON ST, INDIANAPOLIS, IN 46204
- **Mailing address phone:** (317) 233-6984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/18/2026
- **Last updated:** 08/18/2026