Havasu Medical Supply Inc.
Durable Medical Equipment & Medical Supplies
1849 Acoma Blvd W Ste 116, Lake Havasu City
Arizona, 86403-3184
928-854-1868 928-854-1865
Havasu Medical Supply Inc. is a Durable Medical Equipment & Medical Supplies in Lake Havasu City, Arizona. It is located at 1849 Acoma Blvd W Ste 116, Lake Havasu City and it's customer support contact number is 928-854-1868. The authorized person of Havasu Medical Supply Inc. is Mr. Jim Jay Goldman, CRT who is Owner Rt of this DME and his contact number is 928-854-1868. Active license number of Havasu Medical Supply Inc. is 332B00000X for Durable Medical Equipment & Medical Supplies in Arizona.
Havasu Medical Supply Inc. is a supplier of 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:
Havasu Medical Supply Inc. 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: | Havasu Medical Supply Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1849 Acoma Blvd W Ste 116, Lake Havasu City,
Arizona, 86403-3184 |
| Phone: | 928-854-1868 |
| Fax: | 928-854-1865 |
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: | Mr. Jim Jay Goldman |
| Credentials: | CRT |
| Position: | Owner Rt |
| Contact Number: | 928-854-1868 |
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: | 1205891124 |
| NPI Enumeration Date: | 20 Apr, 2006 |
| NPI Last Update On: | 10 Oct, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Havasu Medical Supply Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Arizona | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1849 Acoma Blvd W Ste 116,
Lake Havasu City, Arizona |
| Zip: | 86403-3184 |
| Phone Number: | 928-854-1868 |
| Fax Number: | 928-854-1865 |
Patients can reach Havasu Medical Supply Inc. at
1849 Acoma Blvd W Ste 116, Lake Havasu City, Arizona or can
call on customer care at 928-854-1868.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.