MEDICARE: STATEWIDE MEDICAL EQUIPMENT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	28D1077080	NE
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	08871	OTHER	NE	BLUECROSS BLUESHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	F245676	OTHER	NE	MIDLAND CHOICE

General Provider Information

NPI Number	:	1871589721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STATEWIDE MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	7511 SOUTH 36 STREET
Second Line	:	SUITES 6 & 7
City	:	BELLEVUE
State	:	NE
Zip	:	68147-1244
Country	:	US
Telephone Number	:	402-697-1985
Fax Number	:	402-738-1985

Provider Business Practice Location Address
First Line	:	7511 SOUTH 36 STREET
Second Line	:	SUITES 6 & 7
City	:	BELLEVUE
State	:	NE
Zip	:	68147-1244
Country	:	US
Telephone Number	:	402-697-1985
Fax Number	:	402-738-1985

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	CLEMENTS U AKARA
Credential	:	MT ASCP
Telephone Number	:	402-697-1985

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	06/04/2010

Similar Medicare Providers

1417263591 — STATEWIDE MEDICALEQUIPMENT, INC
Practice Location Address:

7511 S 36TH ST , STE 6
BELLEVUE, NE
68147-1244

Practice Phone: 402-697-1985
Practice Fax: 402-738-1985

1366217051 — WILLOW DENTAL BELLEVUE, LLC
Practice Location Address:

7511 S 36TH ST
BELLEVUE, NE
68147-1244

Practice Phone: 402-733-2281
Practice Fax: 918-235-9079

1306641071 — JOSHUA JUAREZ
Practice Location Address:

7511 S 36TH ST
BELLEVUE, NE
68147-1244

Practice Phone: 402-590-2660
Practice Fax:

1083410104 — WILLIAM DANIEL ELTISTE
Practice Location Address:

7511 S 36TH ST
BELLEVUE, NE
68147-1244

Practice Phone: 402-590-2660
Practice Fax:

1952269409 — HECTOR ORELLANA
Practice Location Address:

8402 CEDAR ISLAND RD
BELLEVUE, NE
68147-2304

Practice Phone: 531-600-3934
Practice Fax:

1568320844 — ROBERT LEE DRISCOLL
Practice Location Address:

7106 CHANDLER HILLS DR
BELLEVUE, NE
68147-1517

Practice Phone: 531-600-3934
Practice Fax:

Directions to “STATEWIDE MEDICAL EQUIPMENT, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.