Organization
PRAXAIR HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KALTRIDER (PRESIDENT)
(203) 837-2330
Entity
Organization
Contact information
Practice address
1218 W HIGHWAY 40, VERNAL, UT 84078-2925
(435) 789-9500
(435) 789-9600
Mailing address
235 E 6100 S, MURRAY, UT 84107-7302
(801) 261-7198
(801) 261-7106
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083645253
—
UT
Enumeration date
07/06/2006
Last updated
04/23/2010
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