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NPI Code Detail

MEDICARE: MERIDIAN CORRECTIONAL SERVICES LLC

MEDICARE: MERIDIAN CORRECTIONAL SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician
2335V00000XPortable X-ray and/or Other Portable Diagnostic Imaging SupplierIN1494IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598188260
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIDIAN CORRECTIONAL SERVICES LLC
Provider Business Mailing Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-496-7137
Fax Number :
Provider Business Practice Location Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-926-0894
Fax Number : 866-681-8178
Authorized Official
Title or Position : CEO
Name : MS. ELSE COLE
Credential :
Telephone Number : 317-496-7137
Provider Enumeration Date : 01/30/2014
Last Update Date : 09/16/2025

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Directions to “MERIDIAN CORRECTIONAL SERVICES LLC ” Practice Location

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