Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Havasu Medical Supply Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1205891124

Havasu Medical Supply Inc is a Durable Medical Equipment & Medical Supplies in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1849 Acoma Blvd W Ste 116
Lake Havasu City, AZ 86403-3184
Phone: (928) 854-1868
Fax: (928) 854-1865
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 332B00000X (AZ)

Record details

NPI number1205891124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jim Goldman — Owner Rt · (928) 854-1868
NPI enumeratedApril 20, 2006
Last updated in NPPESOctober 10, 2008
Mailing address1849 Acoma Blvd W Ste 116, Lake Havasu City, AZ 86403-3184

Other providers in Lake Havasu City