MEDICARE: JSL ARCHIVAL SERVICES

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
1	171W00000X	Contractor

Other Identifiers

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

General Provider Information

NPI Number	:	1710247234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JSL ARCHIVAL SERVICES

Provider Business Mailing Address
First Line	:	2002 S EAST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-2801
Country	:	US
Telephone Number	:	317-803-9715
Fax Number	:	317-454-8573

Provider Business Practice Location Address
First Line	:	2002 S EAST ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46225-2801
Country	:	US
Telephone Number	:	317-803-9715
Fax Number	:	317-454-8573

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE
Name	:	MS. BARRI LEE SHIRK
Credential	:	MS, BA
Telephone Number	:	317-803-9715

Provider Enumeration Date	:	05/17/2012
Last Update Date	:	05/17/2012

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Directions to “JSL ARCHIVAL SERVICES ” Practice Location

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