MEDICARE: PRAXAIR HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639111420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRAXAIR HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	2011 CHERRY ST
Second Line	:	UNIT 204
City	:	LOUISVILLE
State	:	CO
Zip	:	80027-3090
Country	:	US
Telephone Number	:	720-890-1400
Fax Number	:	720-890-1422

Provider Business Practice Location Address
First Line	:	3636 JEANNINE DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80917-8001
Country	:	US
Telephone Number	:	719-597-9730
Fax Number	:	409-654-2068

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT KALTRIDER
Credential	:
Telephone Number	:	203-837-2436

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	11/06/2009

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Directions to “PRAXAIR HEALTHCARE SERVICES ” Practice Location

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