Healthcare Provider Details

I. General information

NPI: 1427284561
Provider Name (Legal Business Name): PRAXAIR HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 N MAIN ST UNIT #4
TOOELE UT
84074-2100
US

IV. Provider business mailing address

235 E 6100 S
MURRAY UT
84107-7302
US

V. Phone/Fax

Practice location:
  • Phone: 435-882-4334
  • Fax: 435-882-4663
Mailing address:
  • Phone: 801-261-7198
  • Fax: 801-261-7106

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 Number7338430-1714
License Number StateUT

VIII. Authorized Official

Name: SCOTT KALTRIDER
Title or Position: PRESIDENT
Credential:
Phone: 203-837-2330