Organization
PRAXAIR HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KALTRIDER (PRESIDENT)
(203) 837-2330
Entity
Organization
Contact information
Practice address
36 N MAIN ST, UNIT #4, TOOELE, UT 84074-2100
(435) 882-4334
(435) 882-4663
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)
7338430-1714
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427284561
—
UT
Enumeration date
06/03/2009
Last updated
05/11/2010
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