Goodwin Street Medical Supply Llc
Customized Equipment
406 W Goodwin St, Ste 1, Prescott
Arizona, 86303-3737
928-541-1825 928-541-1823
Goodwin Street Medical Supply Llc is a Customized Equipment in Prescott, Arizona. It is located at 406 W Goodwin St, Ste 1, Prescott and it's customer support contact number is 928-541-1825. The authorized person of Goodwin Street Medical Supply Llc is Michelle Irene Herod who is Owner of this DME and his contact number is 928-541-1825. Active license number of Goodwin Street Medical Supply Llc is 20002621 for Customized Equipment in Arizona. Goodwin Street Medical Supply Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Goodwin Street Medical Supply Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Goodwin Street Medical Supply Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Goodwin Street Medical Supply Llc |
| Type: | Customized Equipment |
| Location: | 406 W Goodwin St, Ste 1, Prescott,
Arizona, 86303-3737 |
| Phone: | 928-541-1825 |
| Fax: | 928-541-1823 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Michelle Irene Herod |
| Position: | Owner |
| Contact Number: | 928-541-1825 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1205802899 |
| NPI Enumeration Date: | 24 Feb, 2006 |
| NPI Last Update On: | 21 May, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Goodwin Street Medical Supply Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | 20002621 | Arizona | Primary | |
Medicare Enrollment:
Goodwin Street Medical Supply Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4880802016 | O20100930099432 | Goodwin Street Medical Supply Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH ORTHOTIC PERSONNEL |
Products Available:
Goodwin Street Medical Supply Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Breast Prostheses & Accessories |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Nebulizer Equipment & Supplies |
| • Orthoses: Custom Fabricated | • Orthoses: Off-the-shelf |
| • Orthoses: Prefabricated | • Ostomy Supplies |
| • Patient Lifts | • Pneumatic Compression Devices |
| • Power Operated Vehicles (scooters) | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Tracheostomy Supplies | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 406 W Goodwin St, Ste 1
Prescott, Arizona |
| Zip: | 86303-3737 |
| Phone Number: | 928-541-1825 |
| Fax Number: | 928-541-1823 |
Patients can reach Goodwin Street Medical Supply Llc at
406 W Goodwin St, Ste 1, Prescott, Arizona or can
call on customer care at 928-541-1825.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.