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NPI · 1205802899 · NPPES-sourced

Goodwin Street Medical Supply LLC

ActiveCustomized Equipment (DME)
NPI Number
1205802899
Type 2 · Organisation
Taxonomy Code
332BC3200X
Contact
(928) 541-1825
License AZ · 20002621
Last Updated
About 11 years ago (May 2015)
Enumerated 2006-02-24
Primary practice addressAZ · 86303-3737
406 W Goodwin St, Ste 1Prescott, AZ 86303-3737
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About this NPIWhat this record shows.

NPI 1205802899 is registered to Goodwin Street Medical Supply LLC, a healthcare organisation classified as "Customized Equipment (DME)" and located at 406 W Goodwin St, Ste 1 in Prescott, Arizona. The organisation's authorised official is Michelle Herod. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2006-02-24
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Goodwin Street Medical Supply LLC accepts. To confirm in-network status with your specific health plan, contact Goodwin Street Medical Supply LLC directly at (928) 541-1825.

Frequently asked

Yes. NPI 1205802899 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Customized Equipment (DME) is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 541-1825.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Goodwin Street Medical Supply LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy332BC3200X
Last updated2015-05
Enumerated2006-02-24
StatusActive
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Same specialtyOther Customized Equipment (DME) providers in Arizona.

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