GOODWIN STREET MEDICAL SUPPLY LLC
GOODWIN STREET MEDICAL SUPPLY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1205802899, based in Prescott, AZ. It is classified under Customized Equipment (DME).
Getting there
The practice address on file is 406 W GOODWIN ST STE 1, Prescott, AZ 86303. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 20002621 | AZ | Customized Equipment (DME) primary |
This provider holds licence 20002621 issued in AZ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Dme Supplier - Medical Supply Company With Orthotic Personnel
- PAC ID
- 4880802016
- Enrollment ID
- O20100930099432
Medicare enrolment is recorded as approved under the provider type Dme Supplier - Medical Supply Company With Orthotic Personnel. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Customized Equipment covers
Definition to come... NUCC Health Care Provider Taxonomy, code 332BC3200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1205802899 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 24, 2006 |
| Last updated | May 21, 2015 |
| Status | Active |
| Practice address |
406 W GOODWIN ST STE 1 Prescott, AZ 86303 (928) 541-1825 Fax (928) 541-1823 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 8 | 0 | 2 | 8 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 7 | 0 | 4 | 8 | 9 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.