Active NPI
M-R Medical Inc
- Durable Medical Equipment & Medical Supplies
- Waco, TX
National Provider Identifier
1508890757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- M-R MEDICAL INC
- Practice address
- 4923 Franklin Ave
Waco, TX 76710-6917 - Phone
- (254) 420-3832
- Fax
- (409) 654-2068
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Kaltrider
- Title
- President
- Phone
- (203) 837-2330
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
4923 Franklin Ave
Waco, TX 76710-6917
Mailing address
203 E 6100 S
Salt Lake City, UT 84107-7302
Phone (801) 261-7139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0873754-03 | Medicaid | TX | |
| 0873754-02 | Medicaid | TX |
Other names 1
- PRAXAIR HEALTHCARE SERVICES
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1457396533
Member Of
Locations
4923 Franklin Ave
Waco, TX 76710
Phone (254) 412-0309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1508890757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 E 6100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841077302",
"telephone_number": "801-261-7139",
"fax_number": "801-288-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4923 FRANKLIN AVE",
"city": "WACO",
"state": "TX",
"postal_code": "767106917",
"telephone_number": "254-420-3832",
"fax_number": "409-654-2068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M-R MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "KALTRIDER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-837-2330"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0873754-03",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0873754-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PRAXAIR HEALTHCARE SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.