Organization Active NPI

Statewide Medicalequipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Bellevue, NE
National Provider Identifier
1417263591
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STATEWIDE MEDICALEQUIPMENT, INC
Practice address
7511 S 36TH St
Ste 6
Bellevue, NE 68147-1244
Phone
(402) 697-1985
Fax
(402) 738-1985
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Clements U Akara, Mt Ascp
Title
President/Ceo
Phone
(402) 697-1985

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 28D1077080 NE
Durable Medical Equipment & Medical Supplies 332B00000X NE Primary

Addresses

Primary practice location

7511 S 36TH St
Ste 6
Bellevue, NE 68147-1244

Mailing address

7511 S 36TH St
Ste 6
Bellevue, NE 68147-1244
Phone (402) 697-1985

Other identifiers 3

IdentifierTypeStateIssuer
08871OtherNEBLUECROSS BLUESHIELD
F245676OtherNEMIDLAND CHOICE
10025079400MedicaidNE

National Provider Directory

National Provider Directory

Locations

7511 S 36th St
Ste 6
Bellevue, NE 68147
Phone (402) 697-1985

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1417263591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 S 36TH ST",
            "address_2": "STE 6",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471244",
            "telephone_number": "402-697-1985",
            "fax_number": "402-738-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 S 36TH ST",
            "address_2": "STE 6",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471244",
            "telephone_number": "402-697-1985",
            "fax_number": "402-738-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE MEDICALEQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "AKARA, MT ASCP",
        "authorized_official_first_name": "CLEMENTS",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-697-1985"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NE",
            "license": "28D1077080",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "08871",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND CHOICE",
            "identifier": "F245676",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025079400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.