Organization
DAYTON ARTIFICIAL LIMB CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY CLAY SLEMKER CPO (PRESIDENT)
(937) 898-2200
Entity
Organization
Contact information
Practice address
700 HARCO DR, CLAYTON, OH 45315-8793
(937) 898-2200
(936) 832-5361
Mailing address
700 HARCO DR, CLAYTON, OH 45315-8793
(937) 898-2200
(937) 832-5361
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO1502
OH
335E00000X
Prosthetic/Orthotic Supplier
LP0114
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020050
ANTHEM
OH
05
—
2009589
—
OH
01
—
311468023-00
BWC
OH
Enumeration date
06/13/2007
Last updated
10/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us