Organization
PRAXAIR HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BARNHARD (VICE PRESIDENT)
(203) 837-2436
Entity
Organization
Contact information
Practice address
600 E WATERTOWER ST, STE D, MERIDIAN, ID 83642-6287
(208) 376-3800
(208) 376-3810
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
05
—
806539800
—
ID
Enumeration date
06/03/2006
Last updated
08/20/2010
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