Goodwin Street Medical Supply Llc

LBN: Goodwin Street Medical Supply Llc
Goodwin Street Medical Supply Llc is an health care organization with primary practice located at 406 W Goodwin St Ste 1, Prescott AZ 86303-3737. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Goodwin Street Medical Supply Llc can be contacted via phone (928) 541-1825, or through Herod, Michelle Irene via phone (928) 541-1825.

Contact Information

Primary practice address
406 W Goodwin St Ste 1 Prescott AZ 86303-3737
Phone: (928) 541-1825
Fax: (928) 541-1823
Website:
Map and Directions
Authorized official contact:
Name: Herod, Michelle Irene
Phone: (928) 541-1825

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 20002621 Arizona

Profile Details

NPI number 1205802899
LBN Legal business name Goodwin Street Medical Supply Llc
DBA Doing business as
Authorized official Herod, Michelle Irene
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2006
Last updated May 21st, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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