Havasu Medical Supply Inc.
NPI 1205891124 · Durable Medical Equipment & Medical Supplies · Lake Havasu City, AZ
Havasu Medical Supply Inc. is a Durable Medical Equipment & Medical Supplies organization in Lake Havasu City, AZ (NPI 1205891124).
Provider details
- NPI number
- 1205891124
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jim Goldman, Owner Rt(928) 854-1868
- License
- 332B00000X (AZ)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-04-20
- Last updated
- 2008-10-10
Frequently asked questions
- What is Havasu Medical Supply Inc.'s NPI number?
- Havasu Medical Supply Inc.'s National Provider Identifier (NPI) is 1205891124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Havasu Medical Supply Inc.?
- Havasu Medical Supply Inc. is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Havasu Medical Supply Inc. located?
- Havasu Medical Supply Inc.'s practice location on file with NPPES is 1849 Acoma Blvd W Ste 116, Lake Havasu City, AZ 86403-3184.
- What is Havasu Medical Supply Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Havasu Medical Supply Inc. is (928) 854-1868.
- Who is the authorized official for Havasu Medical Supply Inc.?
- The authorized official listed on Havasu Medical Supply Inc.'s NPPES record is Jim Goldman, Owner Rt. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Havasu Medical Supply Inc.'s NPI active?
- Yes — Havasu Medical Supply Inc.'s NPI (1205891124) is active in the NPPES registry as of the last update on 2008-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.