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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GOODWIN STREET MEDICAL SUPPLY LLC

Active Organization

GOODWIN STREET MEDICAL SUPPLY LLC is a Customized Equipment (DME) organization located in PRESCOTT, Arizona. NPI 1205802899 is currently active in the NPPES registry. Verify at CMS.

Customized Equipment (DME) · PRESCOTT, AZ

Registration Details

NPI Number
1205802899
Provider Type
Organization
NPI Issued
Feb 24, 2006 (20.479613661465 yrs)
Last Updated
May 21, 2015
License
20002621 (AZ)

Practice Information

Address
406 W GOODWIN ST
STE 1
PRESCOTT, AZ, 863033737
Browse AZ providers · Browse ZIP 86303
Phone
9285411825
Fax
9285411823
Primary Specialty
Customized Equipment (DME)
332BC3200X

Other Customized Equipment (DME) Organizations in PRESCOTT, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.