Healthcare Provider Details

I. General information

NPI: 1336175843
Provider Name (Legal Business Name): PRAXAIR HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7355 WILLIAM AVE SUITE 200
ALLENTOWN PA
18106-9336
US

IV. Provider business mailing address

PO BOX 121107 DEPT 1107
DALLAS TX
75312-0001
US

V. Phone/Fax

Practice location:
  • Phone: 610-530-3885
  • Fax: 610-530-3888
Mailing address:
  • Phone: 281-448-7299
  • Fax: 281-209-8025

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