1144265802 NPI number — PRAXAIR HEALTHCARE SERVICES, INC

Table of content: (NPI 1144265802)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144265802 NPI number — PRAXAIR HEALTHCARE SERVICES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRAXAIR HEALTHCARE SERVICES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144265802
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/03/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
10/23/2008
NPI Reactivation Date:
02/11/2009

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3220 DALWORTH ST
Provider Second Line Business Mailing Address:
ATTN: JULIE DAVIS
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76011-6812
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-660-7900
Provider Business Mailing Address Fax Number:
203-702-6883

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5520 CLOVERLEAF PKWY
Provider Second Line Business Practice Location Address:
REAR
Provider Business Practice Location Address City Name:
CLEVELAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44125-4815
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-883-3500
Provider Business Practice Location Address Fax Number:
866-885-6473
Provider Enumeration Date:
06/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KALTRIDER
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
203-837-2330

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BP3500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332BX2000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1028064 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21579 . This is a "QUAL CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 250186 . This is a "BC/BS ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3124976 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 81626 . This is a "NORTHWOOD NPN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2369593 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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