OrganizationActive
Durable Medical Supply
NPI 1194358465 · Durable Medical Equipment & Medical Supplies · Lake Havasu City, AZ
Provider details
- NPI number
- 1194358465
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Dezmen Hewitt, Authorized Official(928) 302-3140
Specialties & taxonomies
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
344 London Bridge Rd Ste F
Lake Havasu City, AZ 86403-4619
Phone: (928) 302-3140
Fax: (928) 302-3139
Street-level locationGet directions
Mailing address
344 London Bridge Rd Ste F
Lake Havasu City, AZ 86403-4619
Registry dates
- Enumerated
- 2020-02-14
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.