Provider Demographics
NPI:1972649820
Name:PRAXAIR HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:PRAXAIR HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:KALTRIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-837-2436
Mailing Address - Street 1:18227 AMMI TRL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-1116
Mailing Address - Country:US
Mailing Address - Phone:281-784-4861
Mailing Address - Fax:281-209-8025
Practice Address - Street 1:3455 S PALO VERDE RD
Practice Address - Street 2:SUITE 139
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-5465
Practice Address - Country:US
Practice Address - Phone:520-623-8331
Practice Address - Fax:801-261-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2009-02-17
Deactivation Date:2008-10-23
Deactivation Code:
Reactivation Date:2009-02-11
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4433300054Medicare NSC