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
2202 NELWOOD DR, COLUMBIA, MO 65202-2531
(573) 474-5402
(409) 654-2068
Mailing address
DEPT CH14228, PALANTINE, IL 60055-4228
(409) 951-6437
(409) 654-2068
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
—
626258305
—
MO
Enumeration date
06/20/2006
Last updated
09/02/2008
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