Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Havasu Medical Supply Inc.

Q: What type of organization is Havasu Medical Supply Inc.?

Havasu Medical Supply Inc. is registered in NPPES as a Durable Medical Equipment & Medical Supplies (its primary provider taxonomy).

Durable Medical Equipment & Medical Supplies in Lake Havasu City, AZ · enumerated 2006 · authorized official Jim Goldman, Owner Rt.

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

National Provider Identifier

1205891124

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Registry record

Entity type Organization (Type 2)

Legal business name Havasu Medical Supply Inc.

Practice address 1849 Acoma Blvd W Ste 116, Lake Havasu City, AZ, 86403

Phone (928) 854-1868

Fax (928) 854-1865

Enumeration date Apr 20, 2006

Last updated in NPPES Oct 10, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 332B00000X (AZ) Primary

Authorized official

Name Jim Goldman

Title Owner Rt

Phone (928) 854-1868

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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Havasu Medical Supply Inc.?

Havasu Medical Supply Inc. is registered in NPPES as a Durable Medical Equipment & Medical Supplies (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-10.