Organization
PRAXAIR HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KALTRIDER (PRESIDENT)
(203) 837-2436
Entity
Organization
Contact information
Practice address
580 E HIGHWAY 89A, COTTONWOOD, AZ 86326-4118
(928) 639-3338
(409) 654-2068
Mailing address
203 E 6100 S, SALT LAKE CITY, UT 84107-7302
(801) 261-7139
(801) 288-5906
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
01
—
10028
NEVADA CARE HEALTH SOLUTI
—
01
—
1028051
UNITED HEALTH CARE
AZ
01
—
70176
HMA
—
01
—
8200120
MEDCHOICE RESTRICTED
AZ
Enumeration date
06/04/2006
Last updated
09/02/2008
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