1326071168 NPI number — DOCTORS CHOICE HOME MEDICAL EQUIP OF LARGO, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326071168 NPI number — DOCTORS CHOICE HOME MEDICAL EQUIP OF LARGO, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOCTORS CHOICE HOME MEDICAL EQUIP OF LARGO, 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:
PRAXAIR HEALTHCARE SERVICES
Provider Other Organization Name Type Code:
3
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:
1326071168
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 121135
Provider Second Line Business Mailing Address:
DEPT 1135
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75312-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-951-6437
Provider Business Mailing Address Fax Number:
409-654-2068

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1924 BARTON PARK RD
Provider Second Line Business Practice Location Address:
UNIT 2407
Provider Business Practice Location Address City Name:
AUBURNDALE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33823-3944
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-967-4400
Provider Business Practice Location Address Fax Number:
863-967-4694
Provider Enumeration Date:
07/07/2006

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:
203-837-2436

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: 021589900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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