Statewide Medical Equipment, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STATEWIDE MEDICAL EQUIPMENT, INC

Practice address

7511 South 36 Street
Suites 6 & 7
Bellevue, NE 68147-1244

Phone

(402) 697-1985

Fax

(402) 738-1985

NPI assigned

Sep 26, 2005

Organization subpart

No

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

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1871589721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 SOUTH 36 STREET",
            "address_2": "SUITES 6 & 7",
            "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 SOUTH 36 STREET",
            "address_2": "SUITES 6 & 7",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471244",
            "telephone_number": "402-697-1985",
            "fax_number": "402-738-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "AKARA",
        "authorized_official_first_name": "CLEMENTS",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "402-697-1985",
        "authorized_official_credential": "MT ASCP"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "08871",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025079400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLAND CHOICE",
            "identifier": "F245676",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Stanton, PLMHP
• Deloris Starks
• Kenira Starks
• Denise Kay Starkweather
• State of Nebraska Dept of Admin Services
• Statewide Medicalequipment, Inc
• Mark Stayer
• Lindsay Grace Stayton, LICSW
• Steady Steps Forward LLC
• Jeffrey Stearnes, M.D.

• Durable Medical Equipment & Medical Supplies in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.