MEDICARE: C-LINK ENTERPRISES

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	332BC3200X	Customized Equipment (DME)		OH

General Provider Information

NPI Number	:	1376859751
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C-LINK ENTERPRISES

Provider Business Mailing Address
First Line	:	1825 WEBSTER ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-1147
Country	:	US
Telephone Number	:	937-222-2829
Fax Number	:	937-222-0514

Provider Business Practice Location Address
First Line	:	1825 WEBSTER ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45404-1147
Country	:	US
Telephone Number	:	937-222-2829
Fax Number	:	937-222-0514

Authorized Official
Title or Position	:	PRESIDENT/CFO
Name	:	MRS. LISA BUCKNER
Credential	:
Telephone Number	:	937-222-2829

Provider Enumeration Date	:	08/24/2010
Last Update Date	:	08/24/2010

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Directions to “C-LINK ENTERPRISES ” Practice Location

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