MEDICARE: PRAXAIR HEALTHCARE SERVICES, INC.

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

General Provider Information

NPI Number	:	1457391864
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRAXAIR HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	203 E 6100 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84107-7302
Country	:	US
Telephone Number	:	801-261-7139
Fax Number	:	801-288-5906

Provider Business Practice Location Address
First Line	:	4784 INTERSTATE DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45246-1112
Country	:	US
Telephone Number	:	513-942-9600
Fax Number	:	409-654-2068

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	SCOTT KALTRIDER
Credential	:
Telephone Number	:	203-837-2330

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	10/27/2009

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Directions to “PRAXAIR HEALTHCARE SERVICES, INC. ” Practice Location

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