MEDICARE: PRAXAIR HEALTHCARE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332BC3200X	Customized Equipment (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306889183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRAXAIR HEALTHCARE SERVICES, INC

Provider Business Mailing Address
First Line	:	203 E 6100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-7302
Country	:	US
Telephone Number	:	801-261-7139
Fax Number	:	801-288-5906

Provider Business Practice Location Address
First Line	:	1903 PRODUCTION RD
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46808-3647
Country	:	US
Telephone Number	:	260-226-0707
Fax Number	:	409-654-2068

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT KALTRIDER
Credential	:
Telephone Number	:	203-837-2330

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	09/02/2008

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