Healthcare Provider Details

I. General information

NPI: 1790723823
Provider Name (Legal Business Name): PRAXAIR HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E MULBERRY ST SUITE 2
FORT COLLINS CO
80524-3553
US

IV. Provider business mailing address

2011 CHERRY ST UNIT 204
LOUISVILLE CO
80027-3090
US

V. Phone/Fax

Practice location:
  • Phone: 970-224-1441
  • Fax: 409-654-2068
Mailing address:
  • Phone: 720-890-1400
  • Fax: 720-890-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SCOTT KALTRIDER
Title or Position: PRESIDENT
Credential:
Phone: 203-837-2436