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Goodwin Street Medical Supply LLC

Customized Equipment (DME) in Prescott, AZ · enumerated 2006 · authorized official Michelle Herod, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205802899

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Registry record

Entity type Organization (Type 2)
Legal business name Goodwin Street Medical Supply LLC
Practice address 1202 Willow Creek Rd, Prescott, AZ, 86301
Phone (928) 541-1825
Fax (928) 541-1823
Enumeration date Feb 24, 2006
Last updated in NPPES Jul 11, 2026

Taxonomy & classification

332BC3200X Customized Equipment (DME) Suppliers · License 20002621 (AZ) Primary

Authorized official

Name Michelle Herod
Title Owner
Phone (928) 541-1825

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-07-11. Verify at npiregistry.cms.hhs.gov.
Where is Goodwin Street Medical Supply LLC located?
The practice location on file with NPPES is in Prescott, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-11.