Goodwin Street Medical Supply LLC
Goodwin Street Medical Supply LLC is a Customized Equipment (DME) in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2006.
- Licensed in
- AZ
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1202 Willow Creek RdPrescott, AZ 86301-1428
Phone: (928) 541-1825
Fax: (928) 541-1823
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 20002621 (AZ) |
|---|
Record details
| NPI number | 1205802899 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Herod — Owner · (928) 541-1825 |
| NPI enumerated | February 24, 2006 |
| Last updated in NPPES | July 11, 2026 |
| Certification date | July 11, 2026 |
| Mailing address | 1202 Willow Creek Rd, Prescott, AZ 86301-1428 |
Other providers in Prescott
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Desert Hand Therapy LLC
1231 Willow Creek Rd B, Prescott, AZ 86301-1404 · (928) 443-1120