Healthcare Provider Details

I. General information

NPI: 1083650501
Provider Name (Legal Business Name): PRAXAIR HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 RECREATION PARK DR
HINGHAM MA
02043-4227
US

IV. Provider business mailing address

P.O. BOX 121098 DEPT 1098
DALLAS TX
75312-1098
US

V. Phone/Fax

Practice location:
  • Phone: 781-740-2677
  • Fax: 781-740-2966
Mailing address:
  • Phone: 409-951-6437
  • Fax: 409-654-2068

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: 203-837-2330