Active NPI
Statewide Medicalequipment, Inc
- Durable Medical Equipment & Medical Supplies
- Bellevue, NE
National Provider Identifier
1417263591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08871 | Other | NE | BLUECROSS BLUESHIELD |
| F245676 | Other | NE | MIDLAND CHOICE |
| 10025079400 | Medicaid | NE |
National Provider Directory
National Provider DirectoryLocations
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.